Individual
SUZANNE JAMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1114 BEACH ST, FLINT, MI 48502-1407
(810) 767-4114
(810) 767-4429
Mailing address
1114 BEACH ST, FLINT, MI 48502-1407
(810) 767-4114
(810) 767-4429
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009004
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383681520
FEDERAL TAX ID
—
Enumeration date
07/31/2006
Last updated
09/11/2007
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