Ivanoff, Kathleen Gail

Ivanoff, Kathleen Gail is an sole proprietor health care provider with primary practice located at 496 W Ann Arbor Trl Suite 202, Plymouth MI 48170-6262. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Ivanoff, Kathleen Gail can be contacted via phone (248) 613-5377.

Contact Information

Primary practice address
496 W Ann Arbor Trl Suite 202 Plymouth MI 48170-6262
Phone: (248) 613-5377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301014954 Michigan

Profile Details

NPI number 1902160435
LBN Legal business name Ivanoff, Kathleen Gail
Credentials MA, TLLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2012
Last updated Jun 29th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers