Means, Myrtle Charisse
Means, Myrtle Charisse is an individual health care provider with primary practice located at 23003 Greater Mack Ave Ste B , Saint Clair Shores MI 48080-1965. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Means, Myrtle Charisse can be contacted via phone (313) 574-6616.Contact Information
Primary practice address
23003 Greater Mack Ave Ste B
Saint Clair Shores MI 48080-1965
Phone: (313) 574-6616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301011889 | Michigan |
Profile Details
| NPI number | 1710084801 |
|---|---|
| LBN Legal business name | Means, Myrtle Charisse |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 26th, 2019 - about 5 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 | 1710084801 | NPPES |
| Michigan | Other | 68OE017280 | BCBS |
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