Individual
MICHAEL ERIC EVITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301019184
MI
103TC0700X
Clinical Psychologist
Primary
6301019184
MI
103TC0700X
Clinical Psychologist
6361006432
MI
390200000X
Student in an Organized Health Care Education/Training Program
6361006432
MI
Other
Enumeration date
05/17/2021
Last updated
10/18/2024
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