Individual
TALIB KAFAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
6960 ORCHARD LAKE RD STE 202, WEST BLOOMFIELD, MI 48322-4519
(248) 985-9942
Mailing address
41800 W 11 MILE RD STE 110, NOVI, MI 48375-1818
(472) 191-2839
(248) 513-3144
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007149
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6301007149
—
MI
Enumeration date
01/30/2021
Last updated
11/30/2023
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