Individual
MARWA AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301019152
MI
103TC0700X
Clinical Psychologist
Primary
6301019152
MI
103TC0700X
Clinical Psychologist
6351004419
MI
Other
Enumeration date
08/26/2022
Last updated
12/02/2022
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