Dr. Jennifer B. Mainka, LLC

NPI #1316342447 in Brighton, Michigan

Provider Information

NPI Number: 1316342447
Entity Type: Organization
Organization Name: Dr. Jennifer B. Mainka, LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 31, 2014
Last Updated: Dec 15, 2014

Practice Location

Address: 2300 GENOA BUSINESS PARK DR
Address 2: SUITE 160
City: Brighton
State: Michigan
ZIP Code: 48114-7367
Phone: (810) 522-0785

Authorized Official

Name: DR. JENNIFER BOSS MAINKA, PH.D.
Title: PSYCHOLOGIST
Phone: (248) 444-2418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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