Kalil, Kathleen Mary

Kalil, Kathleen Mary is an sole proprietor health care provider with primary practice located at 24940 Fairmount Dr , Dearborn MI 48124-1584. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kalil, Kathleen Mary can be contacted via phone (313) 274-3500.

Contact Information

Primary practice address
24940 Fairmount Dr Dearborn MI 48124-1584
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301003906 Michigan

Profile Details

NPI number 1467578286
LBN Legal business name Kalil, Kathleen Mary
Credentials PH.D, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1467578286 NPPES
Michigan Other OF33321 BLUE CROSS PROVIER NUMBER

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