Individual
DEMETRIUS EDWIN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP, PHD
Contact information
Practice address
21 KERCHEVAL AVE STE 371, GROSSE POINTE FARMS, MI 48236-3698
(313) 806-9535
Mailing address
21 KERCHEVAL AVE STE 317, GROSSE POINTE FARMS, MI 48236-3698
(313) 806-9535
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301009054
MI
103TC0700X
Clinical Psychologist
Primary
6301018364
MI
Other
Enumeration date
01/26/2007
Last updated
06/10/2025
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