Individual
NATHAN HAYRYNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
31120 WILDWOOD ST APT 5304, WIXOM, MI 48393-2624
(517) 512-0705
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301016836
MI
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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