Individual
DR. MICHAEL CHARLES ANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7800 W OUTER DR STE 300, DETROIT, MI 48235-3458
(313) 340-4442
Mailing address
9919 SHADYSIDE ST, LIVONIA, MI 48150-2715
(734) 837-8374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.008499
IL
103T00000X
Psychologist
6301017108
MI
103T00000X
Psychologist
Primary
6301019304
MI
103TC0700X
Clinical Psychologist
6301017108
MI
103TC0700X
Clinical Psychologist
6301019304
MI
Other
Enumeration date
06/27/2017
Last updated
08/23/2024
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