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Organization

JAMES KNOWLES PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES KNOWLES PH.D. (CLINICAL PSYCHOLOGIST)
(734) 347-8002
Entity
Organization

Contact information

Practice address
7581 SECOR RD, LAMBERTVILLE, MI 48144-9624
(734) 347-8002
(248) 991-9360
Mailing address
20004 PARKER ST, LIVONIA, MI 48152-1596

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009946
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04558
PARAMOUNT
01
680E812610
BCBS
MI
Enumeration date
10/17/2007
Last updated
07/08/2010
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