Individual
DOUGLAS RONALD ENSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2395 OAK VALLEY DR, SUITE 100, ANN ARBOR, MI 48103-8943
(734) 995-5181
(734) 995-9011
Mailing address
2395 OAK VALLEY DR, SUITE 100, ANN ARBOR, MI 48103-8943
(734) 995-5181
(734) 995-9011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5775226
AETNA
MI
01
—
680H146570
BCBS OF MI
MI
Enumeration date
08/01/2006
Last updated
12/16/2009
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