Individual
DR. ERIC S BLUMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC
Contact information
Practice address
12010 LINWOOD ST, DETROIT, MI 48206-1108
(313) 867-1090
(313) 867-0706
Mailing address
915 LEROY ST, FERNDALE, MI 48220-3114
(313) 867-1090
(313) 867-0706
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401006393
MI
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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