Individual
MS. KENISHA LATOYA PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
26105 ORCHARD LAKE RD STE 207, FARMINGTON HILLS, MI 48334-4578
(248) 662-5437
Mailing address
29488 WOODWARD AVE # 220, ROYAL OAK, MI 48073-0903
(248) 249-1798
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361008078
MI
103T00000X
Psychologist
6362009115
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2019
Last updated
09/03/2024
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