MS. Charisse Porzondek, PSYCHOLOGIST

NPI #1952479438 in Wayne, Michigan

Provider Information

NPI Number: 1952479438
Entity Type: Individual
Name: MS. Charisse Porzondek, PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYCHOLOGIST
Enumeration Date: Dec 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 35425 W MICHIGAN AVE
City: Wayne
State: Michigan
ZIP Code: 48184-1687
Phone: (877) 407-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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