Clancy, Krista Marie

Clancy, Krista Marie is an individual health care provider with primary practice located at 41935 12 Mile Rd. Chrildren'S Hospital Of Mi Autism Center, Novi MI 48377. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clancy, Krista Marie can be contacted via phone (248) 305-6211.

Contact Information

Primary practice address
41935 12 Mile Rd. Chrildren'S Hospital Of Mi Autism Center Novi MI 48377
Phone: (248) 305-6211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301011361 Michigan

Profile Details

NPI number 1992039804
LBN Legal business name Clancy, Krista Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2009
Last updated Oct 17th, 2014 - about 11 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.

Request for update

Popular Providers