Individual
MR. HASSAN KOUBAYSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4520 FIRESTONE ST, DEARBORN, MI 48126-4602
(313) 470-1860
Mailing address
153 BAY 26TH ST APT 3G, BROOKLYN, NY 11214-4996
(929) 592-6330
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362010097
MI
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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