Individual
MS. MIKKI SHENKENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, TLLP
Contact information
Practice address
1777 AXTELL DR, SUITE 100, TROY, MI 48084-4404
(248) 613-5573
Mailing address
2900 UNION LAKE RD, COMMERCE TOWNSHIP, MI 48382-3500
(248) 613-5377
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016684
MI
Other
Enumeration date
06/22/2016
Last updated
07/12/2016
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