Organization
BLOOMFIELD COUNSELING,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HOWARD EISENSHTADT PH.D. (PRESIDENT)
(248) 851-7181
Entity
Organization
Contact information
Practice address
5600 W MAPLE RD, SUITE B-208, WEST BLOOMFIELD, MI 48322-3704
(248) 851-7181
(248) 851-1223
Mailing address
5600 W MAPLE RD STE B208, WEST BLOOMFIELD, MI 48322-3707
(248) 851-7181
(248) 851-1223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301003797
MI
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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