Organization
JOSEPH BAVONESE PHD PC
Active
Parent organization
JOSEPH BAVONESE PHD PC
Other names
Relationship Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSEPH BAVONESE PHD PC
Authorized official
JOE BAVONESE PHD (OWNER)
(248) 546-0407
Entity
Organization
Contact information
Practice address
27172 WOODWARD AVE STE 200, ROYAL OAK, MI 48067-0965
(248) 546-0407
Mailing address
27172 WOODWARD AVE STE 200, ROYAL OAK, MI 48067-0965
(248) 546-0407
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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