Healthcare Provider Details

I. General information

NPI: 1487014866
Provider Name (Legal Business Name): KARALEE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2016
Last Update Date: 02/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 S MAIN ST
PLYMOUTH MI
48170-2253
US

IV. Provider business mailing address

1308 S MAIN ST
PLYMOUTH MI
48170-2253
US

V. Phone/Fax

Practice location:
  • Phone: 734-451-3440
  • Fax: 734-207-5326
Mailing address:
  • Phone: 734-451-3440
  • Fax: 734-207-5326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301006232
License Number StateMI

VIII. Authorized Official

Name: KAREN MAIER
Title or Position: OWNER
Credential: PHD / OWNER
Phone: 734-451-3440