Individual
AMANDA KERBAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6548 TOWN CENTER DR STE D, CLARKSTON, MI 48346
(248) 382-8207
Mailing address
495 DEER PATH TRL, WATERFORD, MI 48327-4350
(651) 334-4473
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301015992
MI
103TC0700X
Clinical Psychologist
Primary
6301016872
MI
103TC1900X
Counseling Psychologist
6301015992
MI
Other
Enumeration date
03/04/2016
Last updated
08/20/2018
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