Individual
RICHARD STASZKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
26555 EVERGREEN RD STE 830, SOUTHFIELD, MI 48076-4239
(248) 350-3650
(248) 350-1216
Mailing address
26555 EVERGREEN RD STE 830, SOUTHFIELD, MI 48076-4239
(248) 350-3650
(248) 350-1216
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015513
MI
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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