Organization
ANDREA ANDRZEJCZAK PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA LYNN ANDRZEJCZAK PH.D. (CLINICAL PSYCHOLOGIST)
(313) 885-8350
Entity
Organization
Contact information
Practice address
20867 MACK AVE, SUITE 4, GROSSE POINTE WOODS, MI 48236-1392
(313) 885-8350
(313) 885-8357
Mailing address
20867 MACK AVE, SUITE 4, GROSSE POINTE WOODS, MI 48236-1392
(313) 885-8350
(313) 885-8357
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6301009783
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568520559
NPI
—
01
—
1B 680H230320
BLUE CROSS BLUE SHIELD
MI
01
—
6301009783
LICENSE NUMBER
MI
Enumeration date
01/06/2009
Last updated
01/06/2009
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