Individual
MRS. RANYA ELMOURSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
16921 W. WARREN ROAD, DETROIT, MI 48228
(313) 581-7287
Mailing address
16921 W. WARREN ROAD, DETROIT, MI 48228
(313) 581-7287
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014272
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
11/06/2009
Last updated
11/06/2009
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