SearchMichigan103TC0700X

Krista Clancy

NPI 1992039804 · on the registry since 2009

Practice

Address
41935 12 Mile Rd.
Chrildren'S Hospital Of Mi Autism Center
Novi, MI 48377
Phone
(248) 305-6211

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan