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Organization
WILLIAM C IRVING PHD PLLC
Active
Organization
WILLIAM C IRVING PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY I. (OFFICE MANAGER)
(586) 443-4402
Entity
Organization
Contact information
Practice address
22811 GREATER MACK AVE, SUITE 202, SAINT CLAIR SHORES, MI 48080-2021
(586) 443-4402
(586) 443-4412
Mailing address
22811 GREATER MACK AVE, SUITE 202, SAINT CLAIR SHORES, MI 48080-2021
(586) 443-4402
(586) 443-4412
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
NULL
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
03/12/2008
Last updated
01/26/2012
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