Individual
MR. MICHAEL FRANCIS DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
270 LEIGH FARM RD, DURHAM, NC 27707-8137
(800) 402-8768
Mailing address
3600 N DUKE ST STE 1, DURHAM, NC 27704-1769
(800) 402-8768
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1375
AL
103TC0700X
Clinical Psychologist
6239
NC
103TC2200X
Clinical Child & Adolescent Psychologist
1375
AL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6239
NC
Other
Enumeration date
06/02/2006
Last updated
02/14/2023
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