Mya Patrice Ndiaye
Mya Patrice Ndiaye is an Undefined Non-Physician Type (Specify) in Eastpointe, Michigan. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in Michigan.
- Years since qualifying
- 14
- Licensed in
- MI
- In the registry since
- 2012
- Specialties on file
- 3
Practice location Address checks out
24420 Gratiot AveEastpointe, MI 48021-3307
Phone: (313) 414-1945
Fax: (586) 944-2731
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 6301015244 (MI) |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X · Licence 6301015244 (MI) |
| Behavior Analyst | Taxonomy 103K00000X · Licence 1-17-25043 (MI) |
Record details
| NPI number | 1467702407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 18, 2012 |
| Last updated in NPPES | April 3, 2026 |
| Certification date | April 3, 2026 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Eastpointe
-
Victoria August, MA
15320 E 9 Mile Rd, Eastpointe, MI 48021-2262 · (248) 852-2107
-
Dr. Annita Alyce Sani, PHD
19005 Mott Ave, Eastpointe, MI 48021-2745 · (734) 968-0594