Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 005654 | MI |
Y | 103T00000X | Psychologist | 005654 | MI |
NPI | 1003989005 |
---|---|
Provider Name | Dr. Gail Diane Majcher |
First Address | Northville, MI 48167-1647 |
Second Address | Northville, MI 48167-1647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 09/07/2007 |