Individual
DR. CAITLYN BRIANNE SORENSEN-KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP, BCBA-LBA
Contact information
Practice address
18471 HAGGERTY RD, NORTHVILLE, MI 48168-8513
(248) 735-5928
Mailing address
910 HILLSIDE CT, YPSILANTI, MI 48197-2138
(586) 453-1297
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-13053
MI
103TC0700X
Clinical Psychologist
Primary
6301018402
MI
Other
Enumeration date
02/26/2013
Last updated
05/19/2020
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