| Noemi Ebenstein Phd Pc | |
|
30161 Southfield Rd Suite 105 Southfield MI 48076-1435 | |
| (248) 644-7390 | |
| Not Available |
| Full Name | Noemi Ebenstein Phd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 30161 Southfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Noemi Ebenstein (PRESIDENT) |
| Authorized Official Contact | 2486447390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noemi Ebenstein Phd Pc 30161 Southfield Rd Suite 105 Southfield MI 48076-1435 Ph: (248) 644-7390 | Noemi Ebenstein Phd Pc 30161 Southfield Rd Suite 105 Southfield MI 48076-1435 Ph: (248) 644-7390 |
| NPI Number | 1609010867 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 04/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609010867 | NPI | - | NPPES |
| 6301002033 | Other | MI | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301002033 (Michigan) | Primary |
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