Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyrstina Hudson Mariouw, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487054441

Kyrstina Hudson Mariouw, PHD is a Student in an Organized Health Care Education/Training Program in Troy, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3290 W Big Beaver Rd Ste 150
Troy, MI 48084-2931
Phone: (248) 792-6527
Fax: (248) 792-9106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1375 55th St, Emeryville, CA 94608-2609 — (510) 655-7880

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 6301018301 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487054441
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 27, 2014
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020

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