Individual
MUNA MASHRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
62 W 7 MILE RD, DETROIT, MI 48203-1967
(313) 893-6172
Mailing address
4725 ORCHARD AVE, DEARBORN, MI 48126-4600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
10/16/2013
Last updated
10/16/2013
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