Individual
MICHAEL HAMARNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6320 W 159TH ST, SUITE C, OAK FOREST, IL 60452
(708) 429-2777
(708) 429-2780
Mailing address
6320 W 159TH ST, SUITE C, OAK FOREST, IL 60452
(708) 429-2777
(708) 429-2780
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011348
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63011348
STATE LICENSE NUMBER
MI
Enumeration date
05/03/2007
Last updated
07/08/2007
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