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Organization

NOEMI EBENSTEIN

Active
Other names
Noemi Ebenstein PHD PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NOEMI EBENSTEIN PHD (PRESIDENT)
(248) 644-7390
Entity
Organization

Contact information

Practice address
30161 SOUTHFIELD RD, SUITE 105, SOUTHFIELD, MI 48076-1435
(248) 644-7390
Mailing address
30161 SOUTHFIELD RD, SUITE 105, SOUTHFIELD, MI 48076-1435
(248) 644-7390

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002033
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6301002033
LICENSE NUMBER
MI
Enumeration date
04/30/2009
Last updated
04/30/2009
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