Individual
DR. MUSTAPHA MOUAWIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4794 ROSALIE ST, DEARBORN, MI 48126-2829
(313) 423-5878
Mailing address
4794 ROSALIE ST, DEARBORN, MI 48126-2829
(313) 423-5878
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6362009851
MI
103TC0700X
Clinical Psychologist
Primary
6351004683
MI
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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