MALISSA WOOD MA LLP LPC NPI 1700979838

NPI Information

NPI: 1700979838
Provider Name: MALISSA WOOD, MA, LLP, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
14067 LAKESIDE BLVD N
SHELBY TOWNSHIP, MI
ZIP 48315
Phone: (586) 255-2482
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Malissa Wood, MA, LLP, LPC is a professional counselor in Shelby Township, MI. Malissa Wood, MA, LLP, LPC NPI is 1700979838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14067 LAKESIDE BLVD N
SHELBY TOWNSHIP, MI
ZIP 48315-074
Phone: (586) 255-2482

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC1900X	Psychologist	Counseling	630101724	MICHIGAN	No
2	101YP2500X	Counselor	Professional	6401006969	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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