Doctor Name: | SUMMER CLARISSA CARTWRIGHT |
NPI Number: | 1477937118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 6401014724 |
Business Practice Address: | 6900 E 10 Mile Rd Center Line, MI - 480151168 |
Business Phone Number: | 5865013070 |
Business Fax Number: | 2484756403 |
Mailing Address: | 6900 E 10 Mile Rd, CENTER LINE |
State: | MI |
Postal Code: | 480151168 |
Phone Number: | 5865013070 |
Fax Number: | 2484756403 |
NPI Enumeration Date: | 07/13/2015 |
NPI Last Update Date: | 07/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6401014724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |