Individual
ALEXANDRA MICHELLE KAHTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3135 S STATE ST STE 108, ANN ARBOR, MI 48108-1653
(734) 369-3180
Mailing address
25566 TIREMAN ST, DEARBORN HEIGHTS, MI 48127-1130
(734) 883-1023
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007297
MI
Other
Enumeration date
06/06/2018
Last updated
09/07/2023
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