Individual
DAVID M LEDGERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3901 CHRYSLER SERVICE DR, TOLAN PARK, DETROIT, MI 48201-2167
(313) 993-3964
(313) 993-1372
Mailing address
1560 E MAPLE RD, SUITE 400- CREDENTIALING DEPARTMENT, TROY, MI 48083-1138
(313) 993-3964
(313) 993-1372
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013525
MI
Other
Enumeration date
07/13/2007
Last updated
09/23/2016
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