Individual
KRISTINA HAMMOUDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 PARKLANE BLVD, SUITE 695, DEARBORN, MI 48126-2696
(313) 271-8170
Mailing address
6 PARKLANE BLVD, SUITE 695, DEARBORN, MI 48126-2696
(313) 271-8170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361002821
MI
103TC0700X
Clinical Psychologist
6301014382
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301014382
LICENCE
MI
Enumeration date
11/26/2013
Last updated
05/04/2023
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