Provider Demographics
NPI:1215820345
Name:THELEN, SABRINA ZINA (PSYD)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:ZINA
Last Name:THELEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:SABRINA
Other - Middle Name:ZOUHAIR
Other - Last Name:KASHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:38944 HARVEST MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-5782
Mailing Address - Country:US
Mailing Address - Phone:248-835-2034
Mailing Address - Fax:
Practice Address - Street 1:1717 6TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1801
Practice Address - Country:US
Practice Address - Phone:205-394-3450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI25116160447103T00000X
AL2431103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
No103T00000XBehavioral Health & Social Service ProvidersPsychologist