Individual
DR. DEVIN R SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
1501 KRAFFT RD, FORT GRATIOT, MI 48059-3565
(810) 985-5125
(810) 985-5127
Mailing address
1501 KRAFFT RD, FORT GRATIOT, MI 48059-3565
(810) 985-5125
(810) 985-5127
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014192
MI
Other
Enumeration date
07/02/2009
Last updated
10/26/2009
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