Individual
MR. DEREK THOMAS ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA/LLP
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(180) 045-0450
Mailing address
18781 HANNAN RD, NEW BOSTON, MI 48164-9368
(734) 642-5523
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014393
MI
Other
Enumeration date
03/25/2010
Last updated
01/05/2017
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