Individual
MAHA TABBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
1050 36TH ST SE, GRAND RAPIDS, MI 49508-5580
(269) 965-8078
Mailing address
5532 CYPRESS BAY DR, KALAMAZOO, MI 49009-7755
(269) 870-6522
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
M188076
MI
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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