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General NPI Number Information
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NPI Number | 1235245283
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Entity Type | Individual
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Provider Name | KATHERINE LORRAINE SINGAL MED
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 15370 LEVAN ROAD SUITE 2
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City | LIVONIA
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State | MI
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Zip | 48154
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Country | US
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Telephone | 734-744-0170
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Fax | 734-744-0171
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Provider Business Mailing Address
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Address Line | 3247 SHERBOURNE
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City | DETROIT
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State | MI
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Zip | 48221-1814
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Country | US
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Telephone | 313-341-8598
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 200478
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C-J0118
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 11186
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401003650
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License Number State | MI
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