Individual
KATIE ELIZABETH CHIPUNGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2799 W GRAND BLVD, CFP SECOND FLOOR, DETROIT, MI 48202-2608
(410) 908-5826
(313) 916-8023
Mailing address
2799 W GRAND BLVD, CFP -2, DETROIT, MI 48202-2608
(410) 908-5826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015767
MI
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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