| Shine And Shadow, Llc | |
|
13 N Washington St Ste 155 Ypsilanti MI 48197-2617 | |
| (312) 909-2659 | |
| Not Available |
| Full Name | Shine And Shadow, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 13 N Washington St Ste 155, Ypsilanti, Michigan |
| Authorized Official Name and Position | Kulkiran Nakai (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3129092659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine And Shadow, Llc 13 N Washington St Ste 155 Ypsilanti MI 48197-2617 Ph: (312) 909-2659 | Shine And Shadow, Llc 13 N Washington St Ste 155 Ypsilanti MI 48197-2617 Ph: (312) 909-2659 |
| NPI Number | 1871249060 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871249060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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