Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 103G00000X | Clinical Psychologist | 6361007516 | MI |
Y | 103TC0700X | Clinical Psychologist | 6361007516 | MI |
N | 225XM0800X | Mental Health |
NPI | 1598346546 |
---|---|
Provider Name | Dr. Zeinab Sobh |
First Address | Bingham Farms, MI 48025-3407 |
Second Address | Bingham Farms, MI 48025-3407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2021 |
Last Update Date | 14/06/2021 |