Healthcare Provider Details

I. General information

NPI: 1568519585
Provider Name (Legal Business Name): FAIZEH ABDELKAREEM FAOURI PSYCHOLOGIST LLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAIZEH ABDEL-KAREEM ALFAOURI

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8740 JOSEPH CAMPAU ST
HAMTRAMCK MI
48212-3721
US

IV. Provider business mailing address

13229 E 12 MILE RD
WARREN MI
48088-3647
US

V. Phone/Fax

Practice location:
  • Phone: 313-875-4685
  • Fax: 313-875-4701
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301013425
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: