Individual
NOUR S HACHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 287-1500
Mailing address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010021
MI
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
02/25/2026
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