Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 6301014549 | MI |
NPI | 1063793420 |
---|---|
Provider Name | Dr. Joy D Saniyah |
First Address | Ann Arbor, MI 48104-1929 |
Second Address | Ann Arbor, MI 48104-1929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2011 |
Last Update Date | 04/11/2015 |