Clifford, Thiera Danyal

Clifford, Thiera Danyal is an sole proprietor health care provider with primary practice located at 1771 S Grove St , Ypsilanti MI 48198-6645. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Clifford, Thiera Danyal can be contacted via phone (313) 800-2497.

Contact Information

Primary practice address
1771 S Grove St Ypsilanti MI 48198-6645
Phone: (313) 800-2497
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401014742 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301019322 Michigan

Profile Details

NPI number 1285013979
LBN Legal business name Clifford, Thiera Danyal
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2015
Last updated Feb 13th, 2024 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285013979 NPPES
Michigan MEDICAID 1720685464

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