Individual
EVE DEPASCALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 W GRAND BLVD, DETROIT, MI 48202-2610
(313) 916-2600
Mailing address
2800 W GRAND BLVD, DETROIT, MI 48202-2610
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301019487
MI
103TC0700X
Clinical Psychologist
6351004594
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
09/08/2021
Last updated
07/22/2024
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