Organization
ROBERT BOTTINELLI PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L BOTTINELLI PHD (PRESIDENT PROFESSIONAL CORPORATION)
(810) 230-2800
Entity
Organization
Contact information
Practice address
2187 S DYE RD, FLINT, MI 48532
(810) 230-2800
Mailing address
2187 S DYE RD, FLINT, MI 48532
(810) 230-2800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301001854
MI
Other
Enumeration date
01/30/2007
Last updated
12/19/2007
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