Individual
MR. KENNETH PAUL WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.L.P.
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 270, SHELBY TOWNSHIP, MI 48315-3140
(586) 360-7745
(586) 731-4063
Mailing address
50505 SCHOENHERR RD, SUITE 270, SHELBY TOWNSHIP, MI 48315-3140
(586) 360-7745
(586) 731-4063
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301007675
MI
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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