Individual provider · Type 1 NPI

Charisse Porzondek, PSYCHOLOGIST

Psychologist · Wayne, MI

NPI number 1952479438 Active

Practice location

35425 W Michigan Ave
Wayne, MI 48184-1687

Mailing address

692 Breakwater Dr
Belleville, MI 48111-4471

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301007093

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1952479438

Charisse Porzondek, PSYCHOLOGIST's National Provider Identifier is 1952479438, issued on Dec 1, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Wayne, MI. The record was last updated on Jul 8, 2007.