Individual
DR. ALEXANDER JENDRUSINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1606 S. HURON ST., #972993, YPSILANTI, MI 48197
(734) 222-7459
Mailing address
1606 S. HURON ST., #972993, YPSILANTI, MI 48197
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301018136
MI
103TC0700X
Clinical Psychologist
Primary
6301018616
MI
Other
Enumeration date
12/23/2019
Last updated
06/20/2024
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