Shanle Psychological Services Llc | |
14533 Mack Ave Detroit MI 48215-2520 | |
(313) 605-9400 | |
Not Available |
Full Name | Shanle Psychological Services Llc |
---|---|
Speciality | Psychologist - Counseling |
Location | 14533 Mack Ave, Detroit, Michigan |
Authorized Official Name and Position | Kimberly Helton (OFFICE MANAGER) |
Authorized Official Contact | 3132311771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shanle Psychological Services Llc 14533 Mack Ave Detroit MI 48215-2520 Ph: (313) 605-9400 | Shanle Psychological Services Llc 14533 Mack Ave Detroit MI 48215-2520 Ph: (313) 605-9400 |
NPI Number | 1043980097 |
---|---|
Provider Enumeration Date | 09/20/2021 |
Last Update Date | 12/03/2021 |
Certification Date | 12/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043980097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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