Mack, Shirley Ann
Mack, Shirley Ann is an sole proprietor health care provider with primary practice located at 15501 Metropolitan Pkwy Suite 107, Clinton Township MI 48036-1684. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mack, Shirley Ann can be contacted via phone (586) 263-3880.Contact Information
Primary practice address
15501 Metropolitan Pkwy Suite 107
Clinton Township MI 48036-1684
Phone: (586) 263-3880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401005017 | Michigan |
Profile Details
| NPI number | 1790991990 |
|---|---|
| LBN Legal business name | Mack, Shirley Ann |
| Credentials | PH.D., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 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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