| Organization Name: | REBECCA MAIR P C |
| NPI Number: | 1265734644 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA ANNE MAIR (CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 15450 E Jefferson Ave Ste 140 Grosse Pointe Park |
| State: | MI US |
| Postal Code: | 482302033 |
| Phone Number: | 3138210098 |
| Fax Number: | 3138849758 |
| NPI Enumeration Date: | 11/17/2010 |
| NPI Last Update Date: | 12/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301008126 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |