Individual
ALFRED MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5333 MCAULEY DR, YPSILANTI, MI 48197
(734) 712-4162
(734) 712-5056
Mailing address
5333 MCAULEY DR, YPSILANTI, MI 48197-1014
(734) 712-4162
(734) 712-5056
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301014783
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301014783
MI
103TC0700X
Clinical Psychologist
Primary
6301016060
MI
Other
Enumeration date
04/01/2013
Last updated
08/09/2018
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