Organization
KEVIN V. BARBER, PHD, MBA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN V BARBER PHD, MBA (OWNER)
(248) 755-0896
Entity
Organization
Contact information
Practice address
25775 W 10 MILE RD STE C, SOUTHFIELD, MI 48033-4856
(248) 971-0133
(734) 531-2361
Mailing address
2050 SOUTH BLVD, PO BOX 757, BLOOMFIELD HILLS, MI 48303-0757
(248) 755-0896
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301007614
MI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6301007614
MI
103TC0700X
Clinical Psychologist
Primary
6301007614
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301007614
MI
103TF0200X
Forensic Psychologist
6301007614
MI
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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