Individual
MARYAM NAMIR BAJAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47818 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3373
(586) 323-3620
Mailing address
47818 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3373
(586) 323-3620
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009318
MI
156F00000X
Technician/Technologist
—
MI
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
07/15/2026
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