Organization
CORE PSYCH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADY SHEBAK MD (PSYCHIATRIST)
(313) 429-0470
Entity
Organization
Contact information
Practice address
3815 PELHAM ST, DEARBORN, MI 48124-3852
(313) 429-0470
Mailing address
3815 PELHAM ST STE 13, DEARBORN, MI 48124-3852
(313) 680-0804
(313) 241-9342
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
1835P1300X
Psychiatric Pharmacist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/15/2018
Last updated
07/08/2021
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