Individual
JEAN LYNN KANITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8303 PLATT RD, SALINE, MI 48176-9773
(734) 295-4429
Mailing address
8303 PLATT RD, SALINE, MI 48176-9773
(734) 295-4429
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013821
MI
Other
Enumeration date
05/07/2007
Last updated
09/29/2009
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