Healthcare Provider Details
I. General information
NPI: 1497865802
Provider Name (Legal Business Name): KARALEE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
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
- Phone: 734-451-3440
- Fax: 734-451-8720
- Phone: 734-451-3440
- Fax: 734-451-8720
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | 6301006232 |
| License Number State | MI |
VIII. Authorized Official
Name: DR.
KAREN
J
MAIER
Title or Position: CEO
Credential:
Phone: 734-451-3440