Individual
YOBANY FERNANDO PARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
221 S MAIN ST STE 201, ROYAL OAK, MI 48067-2653
(248) 398-6459
Mailing address
8608 MORRIS RD, GOODELLS, MI 48027-1303
(810) 223-1453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012519
MI
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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