Organization
JOSEPH BAVONESE PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE BAVONESE PH.D. (DIRECTOR)
(248) 546-0407
Entity
Organization
Contact information
Practice address
27172 WOODWARD AVE, SUITE NUMBER 200, ROYAL OAK, MI 48067-0963
(248) 546-0407
(248) 548-1925
Mailing address
27172 WOODWARD AVE, SUITE NUMBER 200, ROYAL OAK, MI 48067-0963
(248) 546-0407
(248) 548-1925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301007576
MI
Other
Enumeration date
11/25/2008
Last updated
05/13/2011
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