Doctor Name: | LAURENE SAAD YOUNIS |
NPI Number: | 1043561921 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6301015220 |
Business Practice Address: | 43902 Woodward Ave Ste 230 Bloomfield Hills, MI - 483025022 |
Business Phone Number: | 3134674653 |
Business Fax Number: | |
Mailing Address: | 14 Timberlane Ct, DEARBORN |
State: | MI |
Postal Code: | 481262615 |
Phone Number: | 3135830388 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2012 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301015220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |