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NPI Code Detail

MEDICARE: MRS. SHOSHI ZOHAR M.A.

MEDICARE: MRS. SHOSHI ZOHAR M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist6301009732MI

General Provider Information

NPI Number : 1356462626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHOSHI ZOHAR M.A.
Provider Business Mailing Address
First Line : 26300 OUTER DR
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-2019
Country : US
Telephone Number : 313-388-4630
Fax Number : 131-338-8047
Provider Business Practice Location Address
First Line : 26300 OUTER DR
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-2019
Country : US
Telephone Number : 313-388-4630
Fax Number : 131-338-8047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. SHOSHI ZOHAR M.A.” Practice Location

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