Kodrik, Jennifer Ann

Kodrik, Jennifer Ann is an sole proprietor health care provider with primary practice located at 42189 Ann Arbor Rd E , Plymouth MI 48170-4370. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kodrik, Jennifer Ann can be contacted via phone (734) 453-5603.

Contact Information

Primary practice address
42189 Ann Arbor Rd E Plymouth MI 48170-4370
Fax: (734) 453-5619
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301013094 Michigan

Profile Details

NPI number 1588730659
LBN Legal business name Kodrik, Jennifer Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
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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