Provider Demographics
NPI:1043561921
Name:SAAD-YOUNIS, LAURENE
Entity Type:Individual
Prefix:
First Name:LAURENE
Middle Name:
Last Name:SAAD-YOUNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30851 BRISTOL LN
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4618
Mailing Address - Country:US
Mailing Address - Phone:313-467-4653
Mailing Address - Fax:
Practice Address - Street 1:5808 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2255
Practice Address - Country:US
Practice Address - Phone:313-467-4653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301015220103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical