Individual
LISA SAKKAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41740 6 MILE RD STE 103, NORTHVILLE, MI 48168-4383
(734) 658-9619
Mailing address
38544 EMERALD LN N, WESTLAND, MI 48185-7636
(734) 658-9619
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007217
MI
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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