Mariouw, Kyrstina Hudson

Mariouw, Kyrstina Hudson is an individual health care provider with primary practice located at 3290 W Big Beaver Rd Ste 150 , Troy MI 48084-2931. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Mariouw, Kyrstina Hudson can be contacted via phone (248) 792-6527.

Contact Information

Primary practice address
3290 W Big Beaver Rd Ste 150 Troy MI 48084-2931
Phone: (248) 792-6527
Fax: (248) 792-9106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301018301 Michigan

Profile Details

NPI number 1487054441
LBN Legal business name Mariouw, Kyrstina Hudson
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2014
Last updated Dec 8th, 2020 - about 6 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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