Individual
MR. GIOVANNI VITALE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
23061 NONA ST, DEARBORN, MI 48124-2623
(313) 969-7750
Mailing address
930 BEECHMONT ST, DEARBORN, MI 48124-1513
(313) 969-7500
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6361000868
MI
Other
Enumeration date
10/02/2014
Last updated
03/07/2022
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