Individual
GEORGE LAWRENCE VANDERBOSSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
41000 WOODWARD AVE STE 350, BLOOMFIELD HILLS, MI 48304-5092
(313) 316-8962
Mailing address
25657 COLGATE ST, DEARBORN HEIGHTS, MI 48125-1548
(313) 316-8962
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010771
MI
Other
Enumeration date
07/17/2006
Last updated
05/22/2024
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