Individual
MR. MICHAEL S ZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LLP
Contact information
Practice address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301010522
MI
103TC0700X
Clinical Psychologist
Primary
6361002828
MI
104100000X
Social Worker
6802064603
MI
Other
Enumeration date
02/01/2007
Last updated
07/01/2020
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