Organization
HENR Y FORD HEALTH SYSTEM
Active
Other names
Limited License Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE ROBERTS (MANAGER)
(248) 641-4041
Entity
Organization
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1 FORD PL STE 2E, DETROIT, MI 48202-3450
(313) 874-4316
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
MI
Other
Enumeration date
05/22/2017
Last updated
08/23/2024
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