Doctor Name: | MRS. ESTHER C. CLEGG |
NPI Number: | 1346371010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | L901731 |
Business Practice Address: | 37634 Enterprise Ct Farmington Hills, MI - 483313440 |
Business Phone Number: | 2485530902 |
Business Fax Number: | 2485532632 |
Mailing Address: | 1107 Irving Ave, ROYAL OAK |
State: | MI |
Postal Code: | 480673312 |
Phone Number: | 2487305540 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | L901731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |