MEDICARE: AMYNA FTOUNI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	103TH0100X	Health Service Psychologist
3	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1356206668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMYNA FTOUNI

Provider Business Mailing Address
First Line	:	135 N OLD WOODWARD AVE
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-3341
Country	:	US
Telephone Number	:	313-444-9887
Fax Number	:	313-263-6095

Provider Business Practice Location Address
First Line	:	135 N OLD WOODWARD AVE
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-3341
Country	:	US
Telephone Number	:	313-444-9887
Fax Number	:	313-263-6095

Authorized Official
Title or Position	:	OWNER
Name	:	AMYNA FTOUNI
Credential	:
Telephone Number	:	313-909-4099

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “AMYNA FTOUNI ” Practice Location

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