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Clinical Psychologist · SOUTHFIELD, MI
Organization Active NPI 1154470755
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | ✓ | 6301012712 | MI |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 6301010435 | MI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.