Individual
FORREST HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20300 SUPERIOR RD STE 250, TAYLOR, MI 48180-6342
(734) 785-7700
Mailing address
20300 SUPERIOR RD STE 250, TAYLOR, MI 48180-6342
(734) 548-4880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010140
MI
Other
Enumeration date
08/03/2022
Last updated
07/02/2025
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