Healthcare Provider Details

I. General information

NPI: 1649540576
Provider Name (Legal Business Name): CATHIE ZMACHINSKI PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2012
Last Update Date: 01/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8303 PLATT RD
SALINE MI
48176-9773
US

IV. Provider business mailing address

8303 PLATT RD
SALINE MI
48176-9773
US

V. Phone/Fax

Practice location:
  • Phone: 734-295-4302
  • Fax: 734-429-3734
Mailing address:
  • Phone: 734-295-4302
  • Fax: 734-429-3734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301007459
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: