Individual
JASON MARK SCIMEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
1309 S LINDEN RD STE C, FLINT, MI 48532-3443
(810) 630-1152
(810) 630-9107
Mailing address
1109 RAMSGATE RD APT 4, FLINT, MI 48532-3122
(248) 977-0137
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009222
MI
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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