Individual
REEM EISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2075 W BIG BEAVER RD STE 520, TROY, MI 48084-3442
(774) 288-0809
Mailing address
26624 E CARNEGIE PARK DR, SOUTHFIELD, MI 48034-6149
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6352000257
MI
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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