Individual
DR. T MICHAEL KNACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
4901 TOWNE CTR, STE 205, SAGINAW, MI 48604-2841
(989) 921-5715
(989) 921-5960
Mailing address
11254 LAKE CIRCLE DR N, SAGINAW, MI 48609-9454
(989) 981-0731
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301001789
MI
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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