Organization
MYRTLE C. MEANS, PH.D., P.C.
Active
Other names
Myrtle C Means PHD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MYRTLE CHARISSE MEANS PHD (PSYCHOLOGIST)
(313) 574-6616
Entity
Organization
Contact information
Practice address
23003 GREATER MACK AVE STE B, SAINT CLAIR SHORES, MI 48080-1965
(313) 574-6616
Mailing address
11285 ELKINS RD STE D3, ROSWELL, GA 30076-5835
(313) 574-6616
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011889
MI
Other
Enumeration date
10/29/2007
Last updated
09/11/2019
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