| Doctor Name: | DR. PATRICIA ANN MCCLUSKEY |
| NPI Number: | 1033243456 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P. |
| License Number: | 6301010090 |
| Business Practice Address: | 29887 W 11 Mile Rd Farmington Hills, MI - 483361309 |
| Business Phone Number: | 2484744701 |
| Business Fax Number: | 2484741518 |
| Mailing Address: | 29887 W 11 Mile Rd, FARMINGTON HILLS |
| State: | MI |
| Postal Code: | 483361309 |
| Phone Number: | 2484744701 |
| Fax Number: | 2484741518 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 05/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301010090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |