Mansour, Denise F

Mansour, Denise F is an sole proprietor health care provider with primary practice located at 28175 Haggerty Rd , Novi MI 48377-2903. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mansour, Denise F can be contacted via phone (734) 265-0841.

Contact Information

Primary practice address
28175 Haggerty Rd Novi MI 48377-2903
Phone: (734) 265-0841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301013014 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6361003557 Michigan

Profile Details

NPI number 1972624716
LBN Legal business name Mansour, Denise F
Credentials PSY.D., LLP, CTS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Dec 27th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972624716 NPPES
Michigan MEDICAID 3434247

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