Mall, Harriet J.
Mall, Harriet J. is an individual health care provider with primary practice located at 30445 Northwestern Hwy Suite #240, Farmington Hills MI 48334-3158. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mall, Harriet J. can be contacted via phone (248) 538-5045.Contact Information
Primary practice address
30445 Northwestern Hwy Suite #240
Farmington Hills MI 48334-3158
Phone: (248) 538-5045
Fax: (248) 538-1801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401005154 | Michigan |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 6301008104 | Michigan |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301008104 | Michigan |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 6301008104 | Michigan |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 6301008104 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301008104 | Michigan |
Profile Details
| NPI number | 1558441840 |
|---|---|
| LBN Legal business name | Mall, Harriet J. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Apr 28th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558441840 | NPPES |
| Michigan | Other | 11643507 | CAQH |
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