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Individual

DR. MICHAEL ANDREW BAMBERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
44450 PINETREE DR, SUITE 101, PLYMOUTH, MI 48170-3869
(734) 738-0897
Mailing address
44450 PINETREE DR, SUITE 101, PLYMOUTH, MI 48170-3869
(734) 738-0897

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010839
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301010839
MI

Other

Enumeration date
08/09/2007
Last updated
07/22/2015
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