Elyse, Kimberly

Elyse, Kimberly is an individual health care provider with primary practice located at 12305 Dexter Ave , Detroit MI 48206-1015. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Elyse, Kimberly can be contacted via phone (313) 397-1306.

Contact Information

Primary practice address
12305 Dexter Ave Detroit MI 48206-1015
Phone: (313) 397-1306
Fax: (313) 397-6010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1730320342
LBN Legal business name Elyse, Kimberly
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2009
Last updated Mar 11th, 2009 - about 15 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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