Anastasia, Elizabeth

Anastasia, Elizabeth is an individual health care provider with primary practice located at 950 36Th St Sw , Wyoming MI 49509-3587. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anastasia, Elizabeth can be contacted via phone (616) 320-0405.

Contact Information

Primary practice address
950 36Th St Sw Wyoming MI 49509-3587
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301019142 Michigan

Profile Details

NPI number 1033725379
LBN Legal business name Anastasia, Elizabeth
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2020
Last updated Mar 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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