Individual
DR. KENNETH MARK ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
26862 WOODWARD AVE, SUITE 212, ROYAL OAK, MI 48067-0957
(248) 398-0740
(248) 398-9456
Mailing address
26862 WOODWARD AVE, SUITE 212, ROYAL OAK, MI 48067-0957
(248) 398-0740
(248) 398-9456
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005372
MI
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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