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Individual

DR. IRA LOURIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
28220 FRANKLIN RD, SOUTHFIELD, MI 48034-1659
(248) 788-9708
(248) 788-9708
Mailing address
PO BOX 44047, DETROIT, MI 48244-0047
(248) 584-0240
(248) 584-0241

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
630100750
MI
103T00000X
Psychologist
630100750
MI

Other

Enumeration date
07/26/2006
Last updated
10/21/2011
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