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Contact Information

MARGARET A COSTELLO, MA, JD, LLP
17177 NORTH LAUREL PARK; SUITE 131
CRUZ CLINIC
LIVONIA, MI48152
 Phone: 734-462-3210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARGARET A COSTELLO · (Female)

NPI # 1164854220
Status Active
Credentials MA, JD, LLP
Entity Individual
Enumeration date 07/31/2013
Last updated 07/31/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6301002741
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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