SHANA MARI CACIOPPO

TAYLOR, MI
NPI1619137007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301013864)
Enumeration Date2008-06-10
Last Update Date2012-02-28
Business Address
Mrs. SHANA MARI CACIOPPO Psy. D, LLP
25507 ECORSE RD
TAYLOR, MI 48180-1555
Phone number: 313-292-7640
Mailing Address
Mrs. SHANA MARI CACIOPPO Psy. D, LLP
3401 19TH ST
WYANDOTTE, MI 48192-6029
Phone number: 734-320-9562