Organization
EXCELSIOR PSYCHOLOGICAL SERVICES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ANDREW GALL PH.D. (OWNER/CLINICAL DIRECTOR)
(248) 656-5003
Entity
Organization
Contact information
Practice address
11111 HALL RD STE 105, UTICA, MI 48317-5799
(248) 656-5003
(248) 656-5004
Mailing address
11111 HALL RD STE 105, UTICA, MI 48317-5799
(248) 656-5003
(248) 656-5004
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301011878
MI
Other
Enumeration date
09/29/2014
Last updated
05/11/2020
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