Organization
JAMAIL PSYCHOLOGICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE JAMAIL PHD (OWNER)
(810) 767-4114
Entity
Organization
Contact information
Practice address
1114 BEACH ST, FLINT, MI 48502-1407
(810) 767-4114
(810) 767-4429
Mailing address
1114 BEACH ST, FLINT, MI 48502-1407
(810) 767-4114
(810) 767-4429
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009004
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680B545430
BCBSM
MI
Enumeration date
07/12/2006
Last updated
03/04/2009
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