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Organization
OAKLAND PSYCHOLOGICAL CLINIC, P.C.
Active
Organization
OAKLAND PSYCHOLOGICAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RICHELSON M.D. (PRESIDENT, TREASURER, SECRETARY)
(904) 605-4986
Entity
Organization
Contact information
Practice address
16664 15 MILE RD, SUITE 300, FRASER, MI 48026-3713
(586) 294-0805
(586) 294-0805
Mailing address
PO BOX 7008, BLOOMFIELD HILLS, MI 48302-7008
(248) 322-0003
(248) 322-0006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
630323
MI
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/18/2007
Last updated
12/30/2022
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