Individual
MS. KATHLEEN ANN QUAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.L.L.P.
Contact information
Practice address
15420 19 MILE RD, CLINTON TOWNSHIP, MI 48038-6339
(586) 226-7007
(586) 226-7033
Mailing address
15420 19 MILE RD, CLINTON TOWNSHIP, MI 48038-6339
(586) 226-7007
(586) 226-7033
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361004620
MI
103TC0700X
Clinical Psychologist
MIQUAK3371B
MI
Other
Enumeration date
07/31/2006
Last updated
03/17/2021
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