Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 5201009681 | MI |
NPI | 1770027864 |
---|---|
Provider Name | Chelsea Marie Galuszka |
First Address | Novi, MI 48377-4289 |
Second Address | Novi, MI 48377-4289 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2016 |
Last Update Date | 08/12/2016 |