Organization
MARK DENISON PHD, PC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DENISON PHD (PRESIDENT)
(586) 792-5770
Entity
Organization
Contact information
Practice address
36359 HARPER AVE, SUITE A, CLINTON TOWNSHIP, MI 48035-2958
(586) 792-5770
Mailing address
36359 HARPER AVE, SUITE A, CLINTON TOWNSHIP, MI 48035-2958
(586) 792-5770
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005775
MI
Other
Enumeration date
02/29/2012
Last updated
03/16/2012
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