Individual
MR. ERIC SHENKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
3847 PINE GROVE AVE, SUITE B, FORT GRATIOT, MI 48059-4265
(810) 966-3745
Mailing address
3694 LANTERN LN, FORT GRATIOT, MI 48059-4017
(810) 985-3393
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005764
MI
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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