Individual
SUKHVENDER K NIJJER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4129 OKEMOS RD, SUITE 6, OKEMOS, MI 48864-2822
(517) 999-3171
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009849
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255686000
MAGELLAN PROVIDER
MI
01
—
26OC311520
BCBS PROVIDER
MI
01
—
7156410
AETNA PROVIDER
MI
Enumeration date
01/25/2006
Last updated
05/22/2024
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