Individual
DR. DONNA MARIE D. MESZAROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
40000 GRAND RIVER AVE., SUITE 306, NOVI, MI 48375-2137
(248) 426-9900
(248) 426-9950
Mailing address
6748 ARDSLEY DR, CANTON, MI 48187-3026
(734) 981-5886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009817
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M86060
MEDICARE ID
MI
01
—
11283595
CAQH
—
01
—
68-0-F3-3252-0
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/05/2006
Last updated
06/07/2008
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