| Dr Maritaconstance Supan, PHD, LLP, DAPA | |
|
934 Mason St, Dearborn, MI 48124-2215 | |
| (313) 278-8053 | |
| (313) 278-8053 |
| Full Name | Dr Maritaconstance Supan |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 934 Mason St, Dearborn, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063663714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301008934 (Michigan) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 6301008934 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maritaconstance Supan, PHD, LLP, DAPA 934 Mason St, Dearborn, MI 48124-2215 Ph: (313) 278-8053 | Dr Maritaconstance Supan, PHD, LLP, DAPA 934 Mason St, Dearborn, MI 48124-2215 Ph: (313) 278-8053 |
Sara Pierce, M.S., TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Ms. Jessica Dawn Clemons, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657 | |
Yasmeen Saba El-masry, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Mr. Giovanni Vitale Ii, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23061 Nona St, Dearborn, MI 48124 Phone: 313-969-7750 | |
Layla Obad, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Laurene Saad-younis, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5808 Schaefer Rd, Dearborn, MI 48126 Phone: 313-467-4653 |