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Individual

DAVID JOHN GARVELINK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA LLP

Contact information

Practice address
2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
(248) 646-6659
Mailing address
2015 WINDEMERE RD, BIRMINGHAM, MI 48009-5838
(248) 646-6659

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007159
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1922012400
GROUP NPI
MI
Enumeration date
04/23/2007
Last updated
01/21/2008
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