Individual
ALKAWTHER ALTIMIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20600 EUREKA RD, TAYLOR, MI 48180-5343
(734) 785-7700
Mailing address
15103 GAGE ST, TAYLOR, MI 48180-5192
(313) 566-3203
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010144
MI
Other
Enumeration date
04/24/2023
Last updated
09/10/2025
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