Individual
KAREN LYNN JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. L.L.P.
Contact information
Practice address
28777 NORTHWESTERN HWY, SUITE 245D, SOUTHFIELD, MI 48034-1819
(248) 353-8259
Mailing address
28777 NORTHWESTERN HWY, SUITE 245D, SOUTHFIELD, MI 48034-1819
(248) 353-8259
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007581
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1-0-89-0696990
BCBS
MI
Enumeration date
02/19/2008
Last updated
02/19/2008
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