| Doctor Name: | DR. SALLY PALAIAN |
| NPI Number: | 1033397518 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 6301007602 |
| Business Practice Address: | 30400 Telegraph Rd Suite 331 Bingham Farms, MI - 480254537 |
| Business Phone Number: | 2486455960 |
| Business Fax Number: | 2486450562 |
| Mailing Address: | 30400 Telegraph Rd, Suite 331 BINGHAM FARMS |
| State: | MI |
| Postal Code: | 480254537 |
| Phone Number: | 2486455960 |
| Fax Number: | 2486450562 |
| NPI Enumeration Date: | 02/06/2008 |
| NPI Last Update Date: | 02/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301007602 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |