| Kirsanoff Psychotherapy Pllc | |
|
3083 Coolidge Hwy Berkley MI 48072-3523 | |
| (248) 850-1546 | |
| (248) 850-1545 |
| Full Name | Kirsanoff Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3083 Coolidge Hwy, Berkley, Michigan |
| Authorized Official Name and Position | Lynelle Marie Kirsanoff (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2488501546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsanoff Psychotherapy Pllc 3083 Coolidge Hwy Berkley MI 48072-3523 Ph: (248) 850-1546 | Kirsanoff Psychotherapy Pllc 3083 Coolidge Hwy Berkley MI 48072-3523 Ph: (248) 850-1546 |
| NPI Number | 1710248810 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710248810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801085078 (Michigan) | Primary |
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