# DORIS A. LANDRY, M.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760718571
- **Authorized official:** DORIS A LANDRY-KRUSE M.S., L.L.P. (PRESIDENT/PSYCHOLOGIST)
- **Authorized official phone:** (248) 891-8139

## Contact information

- **Practice address:** 34441 8 MILE RD, SUITE 108, LIVONIA, MI 48152-4013
- **Practice address phone:** (248) 891-8139
- **Mailing address:** 1894 MAJON, HIGHLAND, MI 48356-1757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 6301007803 | MI | Yes |

## Other

- **Enumeration date:** 10/29/2009
- **Last updated:** 10/29/2009
