Individual
DR. PAOLO TODESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LP
Contact information
Practice address
19892 W. DOYLE PL., GROOSE POINTE WOODS, MI 48236
(313) 409-5034
Mailing address
19892 W. DOYLE PL., GROOSE POINTE WOODS, MI 48236
(313) 409-5034
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014167
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301014167
MI
103TC0700X
Clinical Psychologist
6301014167
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301014167
MI
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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