Individual
SHIBANY P TAORMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301012223
MI
103TC0700X
Clinical Psychologist
Primary
6301012223
MI
Other
Enumeration date
06/01/2006
Last updated
04/09/2024
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