Doctor Name: | REBECCA KARP ZUSEL |
NPI Number: | 1063660181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 40000 Grand River Avenue Suite 306 Novi, MI - 48375 |
Business Phone Number: | 2484269900 |
Business Fax Number: | |
Mailing Address: | 6623 Pine Eagle Lane, WEST BLOOMFIELD |
State: | MI |
Postal Code: | 48322 |
Phone Number: | 2489108283 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2008 |
NPI Last Update Date: | 09/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |