| Ken Whittum | |
|
38828 Grandon St Livonia MI 48150-3381 | |
| (734) 368-4571 | |
| Not Available |
| Full Name | Ken Whittum |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 38828 Grandon St, Livonia, Michigan |
| Authorized Official Name and Position | Kenneth D Whittum (DIRECTOR/THERAPIST) |
| Authorized Official Contact | 7343684571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Whittum 38828 Grandon St Livonia MI 48150-3381 Ph: (734) 368-4571 | Ken Whittum 38828 Grandon St Livonia MI 48150-3381 Ph: (734) 368-4571 |
| NPI Number | 1245623057 |
|---|---|
| Provider Enumeration Date | 03/18/2015 |
| Last Update Date | 03/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245623057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401013328 (Michigan) | Primary |
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