Gazda, Mary Jane

Gazda, Mary Jane is an sole proprietor health care provider with primary practice located at 37211 Harper Ave Ste 3A , Clinton Twp MI 48036-3001. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gazda, Mary Jane can be contacted via phone (586) 466-7173.

Contact Information

Primary practice address
37211 Harper Ave Ste 3A Clinton Twp MI 48036-3001
Phone: (586) 466-7173
Fax: (586) 741-0145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301010567 Michigan

Profile Details

NPI number 1639259674
LBN Legal business name Gazda, Mary Jane
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Dec 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639259674 NPPES
Michigan Other 0E04607 BLUE CROSS/ BLUE SHIELD

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