Individual
MR. THOMAS MICHEAL SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. L.L.P.
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-1687
(734) 729-7792
Mailing address
580 CHESTER ST, SOUTH LYON, MI 48178-1125
(248) 486-4228
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008157
MI
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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