Individual
MRS. JACKIE SUZANNE SHPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31275 NORTHWESTERN HWY STE 203, FARMINGTON HILLS, MI 48334-2579
(313) 583-7422
Mailing address
31275 NORTHWESTERN HWY STE 203, FARMINGTON HILLS, MI 48334-2579
(313) 583-7422
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013869
MI
Other
Enumeration date
11/01/2013
Last updated
04/22/2026
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