Organization
JEFFREY DEGROAT PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DEGROAT (MANAGER)
(586) 776-3366
Entity
Organization
Contact information
Practice address
21929 E 9 MILE RD, SAINT CLAIR SHORES, MI 48080-2906
(586) 776-3366
Mailing address
21929 E 9 MILE RD, SAINT CLAIR SHORES, MI 48080-2906
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012619
MI
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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