Individual
ELLA SAMHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19900 E 10 MILE RD STE 102, SAINT CLAIR SHORES, MI 48080-4412
(586) 776-3366
Mailing address
590 DEERING ST, GARDEN CITY, MI 48135-3159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009798
MI
Other
Enumeration date
09/06/2023
Last updated
03/20/2024
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