MR. Thomas Micheal Shaker, M.S. L.L.P.

NPI #1811185846 in Wayne, Michigan

Provider Information

NPI Number: 1811185846
Entity Type: Individual
Name: MR. Thomas Micheal Shaker, M.S. L.L.P.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: M.S. L.L.P.
Enumeration Date: Oct 3, 2007
Last Updated: Oct 3, 2007

Practice Location

Address: 35425 W MICHIGAN AVE
City: Wayne
State: Michigan
ZIP Code: 48184-1687
Phone: (734) 729-7792

Specialties & Taxonomy Codes

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

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