Doctor Name: | MICHELLE KLOTZ |
NPI Number: | 1053597278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LMSW |
License Number: | 6801017101 |
Business Practice Address: | 28303 Joy Rd Westland, MI - 481855524 |
Business Phone Number: | 7345131122 |
Business Fax Number: | |
Mailing Address: | 28303 Joy Rd, WESTLAND |
State: | MI |
Postal Code: | 481855524 |
Phone Number: | 7345131122 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2008 |
NPI Last Update Date: | 01/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801017101 |
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 |