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Individual

DR. JOSEPH A DAMIANI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
17282 FARMINGTON RD, LIVONIA, MI 48152-3151
(734) 762-9710
(734) 762-9705
Mailing address
17282 FARMINGTON RD, LIVONIA, MI 48152-3151
(734) 762-9710
(734) 762-9705

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8792
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
099166
MANAGER HEALTH NETWORK
MI
01
680H23998
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/05/2005
Last updated
07/08/2007
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