Organization
CARISSA GADEN, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARISSA GADEN PH.D. (PRESIDENT)
(586) 772-9390
Entity
Organization
Contact information
Practice address
27941 HARPER AVE STE 102, SAINT CLAIR SHORES, MI 48081-1535
(586) 772-9390
(586) 859-5300
Mailing address
27941 HARPER AVE STE 102, SAINT CLAIR SHORES, MI 48081-1535
(586) 772-9390
(586) 859-5300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71020000EO1883
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/18/2007
Last updated
11/08/2022
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