Kimberly Sabra, | |
882 Oakman Blvd, Detroit, MI 48238-3710 | |
(313) 967-5959 | |
Not Available |
Full Name | Kimberly Sabra |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 882 Oakman Blvd, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346751310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301016284 (Michigan) | Primary |
Entity Name | Fairsky Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033595665 PECOS PAC ID: 2769775386 Enrollment ID: O20160720000492 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Sabra, 882 Oakman Blvd, Detroit, MI 48238-3710 Ph: (313) 961-7990 | Kimberly Sabra, 882 Oakman Blvd, Detroit, MI 48238-3710 Ph: (313) 967-5959 |
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