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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARIA KANISZEWSKI

Active Sole Proprietor

MRS. MARIA KANISZEWSKI is a Child, Clinical Psychologist healthcare provider located in HOUGHTON LAKE, Michigan. NPI 1740599216 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · HOUGHTON LAKE, MI

Registration Details

NPI Number
1740599216
Provider Type
Individual
Gender
Female
NPI Issued
Oct 1, 2010 (15.910341606176 yrs)
Last Updated
Oct 1, 2010
Licenses
L1764585 (MI)
L1815378 (MI)
Sole Proprietor
Yes

Practice Information

Address
2715 S TOWNLINE RD
HOUGHTON LAKE, MI, 486299294
Browse MI providers · Browse ZIP 48629
Phone
9893661118
Fax
9893669420
Primary Specialty
Child, Clinical Psychologist
103TC2200X
Additional Specialty
Child, Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.