Organization
CORE PSYCH LIVONIA, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADY SHEBAK MD (PSYCHIATRIST)
(586) 961-6420
Entity
Organization
Contact information
Practice address
17732 FARMINGTON RD, LIVONIA, MI 48152-3104
(586) 961-6420
Mailing address
3815 PELHAM ST STE 13, DEARBORN, MI 48124-3852
(586) 961-6420
(586) 204-0211
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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