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NPI Code Detail

MEDICARE: SHELLI K REISS-THOMAS MS LLP

MEDICARE: SHELLI K REISS-THOMAS MS LLP
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist6301009280MI

General Provider Information

NPI Number : 1922299767
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLI K REISS-THOMAS MS LLP
Provider Business Mailing Address
First Line : 3785 BAY RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2433
Country : US
Telephone Number : 989-791-2455
Fax Number : 989-791-1392
Provider Business Practice Location Address
First Line : 3215 HALLMARK CT
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2109
Country : US
Telephone Number : 989-790-5990
Fax Number : 989-790-5991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2007
Last Update Date : 06/18/2018

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Directions to “ SHELLI K REISS-THOMAS MS LLP” Practice Location

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