Individual
MRS. CHRISTINA J. ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.L.P.
Contact information
Practice address
13001 23 MILE RD, SHELBY TOWNSHIP, MI 48315-2767
(248) 961-4849
Mailing address
1325 BEACHCOMBER BLVD, HARDEEVILLE, SC 29927-4892
(248) 961-4849
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301009029
MI
103T00000X
Psychologist
Primary
6361004755
MI
103TC0700X
Clinical Psychologist
6301009029
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6361004755
LARA MICHIGAN LICENSE
MI
Enumeration date
12/21/2006
Last updated
09/09/2022
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