Kirsanoff Psychotherapy Pllc

NPI #1710248810 in Berkley, Michigan

Provider Information

NPI Number: 1710248810
Entity Type: Organization
Organization Name: Kirsanoff Psychotherapy Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 5, 2012
Last Updated: Jun 5, 2012

Practice Location

Address: 3083 COOLIDGE HWY
City: Berkley
State: Michigan
ZIP Code: 48072-3523
Phone: (248) 850-1546

Authorized Official

Name: MRS. LYNELLE MARIE KIRSANOFF, LMSW
Title: OWNER/PSYCHOTHERAPIST
Phone: (248) 850-1546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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