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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639259674 | NPPES |
| Michigan | Other | 0E04607 | BLUE CROSS/ BLUE SHIELD |
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