Mrs La-toya Shannelle Gaines, PSYD LP - Psychologist in Southfield, MI

Mrs La-toya Shannelle Gaines, PSYD LP is a Psychologist - Clinical based in Southfield, Michigan. Mrs La-toya Shannelle Gaines is licensed to practice in Michigan (license number 6301015276) and her current practice location is 29532 Southfield Rd, Suite #101, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at (313) 449-3913.

NPI number for Mrs La-toya Shannelle Gaines is 1356678320 and her current mailing address is 29532 Southfield Rd, Suite #101, Southfield, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356678320.

Contact Information

Mrs La-toya Shannelle Gaines, PSYD LP
29532 Southfield Rd, Suite #101,
Southfield, MI 48076-2023
(313) 449-3913
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs La-toya Shannelle Gaines
GenderFemale
SpecialityPsychologist - Clinical
Location29532 Southfield Rd, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356678320
  • Provider Enumeration Date: 11/11/2009
  • Last Update Date: 04/20/2016

Medical Identifiers

Medical identifiers for Mrs La-toya Shannelle Gaines such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356678320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6301015276 (Michigan)Primary
103TC2200XPsychologist - Clinical Child & Adolescent 6301015276 (Michigan)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs La-toya Shannelle Gaines is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs La-toya Shannelle Gaines, PSYD LP
29532 Southfield Rd, Suite #101,
Southfield, MI 48076-2023

Ph: (313) 449-3913
Mrs La-toya Shannelle Gaines, PSYD LP
29532 Southfield Rd, Suite #101,
Southfield, MI 48076-2023

Ph: (313) 449-3913

Reviews and Comments


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