Theobald, Mallorae Elizabeth

Theobald, Mallorae Elizabeth is an individual health care provider with primary practice located at 43334 7 Mile Rd , Northville MI 48167-2249. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Theobald, Mallorae Elizabeth can be contacted via phone (517) 898-4868.

Contact Information

Primary practice address
43334 7 Mile Rd Northville MI 48167-2249
Phone: (517) 898-4868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 7401000261 Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1205292422
LBN Legal business name Theobald, Mallorae Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2016
Last updated Sep 19th, 2019 - about 6 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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