Doctor Name: | AMY ZEL ABLITZ |
NPI Number: | 1013125145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.S.W. |
License Number: | 6801087173 |
Business Practice Address: | 48561 Alpha Dr Ste 150 Wixom, MI - 483933442 |
Business Phone Number: | 2482085672 |
Business Fax Number: | |
Mailing Address: | 2217 Charms Ravine Dr, WIXOM |
State: | MI |
Postal Code: | 483934413 |
Phone Number: | 2486683068 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801087173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |