Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | C-03717 | MI |
NPI | 1356908834 |
---|---|
Provider Name | Ms. Megan Spees |
First Address | Farmington Hills, MI 48334-1564 |
Second Address | Waterford, MI 48327-1545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2019 |
Last Update Date | 21/05/2019 |