Individual provider · Type 1 NPI

Eitedal Basyouni, PhD

Mental Health Counselor · Royal Oak, MI

NPI number 1891092268 Active

Practice location

30701 Woodward Ave, Suite 200
Royal Oak, MI 48073-0987

Call (248) 288-9333 Map

Fax (248) 288-1362

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401002100 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1891092268

Eitedal Basyouni, PhD's National Provider Identifier is 1891092268, issued on Feb 22, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Royal Oak, MI. The record was last updated on Feb 22, 2011.