Provider Demographics
NPI:1346411345
Name:ROSSI, DORI LYNN (MA, LLPC)
Entity Type:Individual
Prefix:
First Name:DORI
Middle Name:LYNN
Last Name:ROSSI
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:DORI
Other - Middle Name:LYNN
Other - Last Name:PLACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42669 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-5036
Mailing Address - Country:US
Mailing Address - Phone:586-412-5321
Mailing Address - Fax:586-412-5327
Practice Address - Street 1:42669 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-5036
Practice Address - Country:US
Practice Address - Phone:586-412-5321
Practice Address - Fax:586-412-5327
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013807101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor