Individual provider · Type 1 NPI

Shana Mari Cacioppo, PSY. D, LLP

Clinical Psychologist · Taylor, MI

NPI number 1619137007 Active

Practice location

25507 Ecorse Rd
Taylor, MI 48180-1555

Call (313) 292-7640 Map

Fax (313) 292-9270

Mailing address

3401 19th St
Wyandotte, MI 48192-6029

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301013864 (MI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1619137007

Shana Mari Cacioppo, PSY. D, LLP's National Provider Identifier is 1619137007, issued on Jun 10, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Taylor, MI. The record was last updated on Feb 28, 2012.