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Contact Information

ANDREA ANDRZEJCZAK PH.D.
20867 MACK AVE
SUITE 4
GROSSE POINTE WOODS, MI48236-1392
 Phone: 313-885-8350
 Fax: 313-885-8357
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for ANDREA ANDRZEJCZAK PH.D.

NPI # 1841436201
LBN Legal business name ANDREA ANDRZEJCZAK PH.D.
Authorized official ANDREA ANDRZEJCZAK - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/06/2009
Last updated 01/06/2009 - About 17 years ago
Identifiers
MI License # 6301009783
Other 1568520559 NPI
MI Other 1B 680H230320 BLUE CROSS BLUE SHIELD
MI Other 6301009783 LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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