Individual
DR. BARRY JAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6022 W MAPLE RD, SUITE 414, WEST BLOOMFIELD, MI 48322-4408
(248) 626-8889
(248) 366-1146
Mailing address
6022 W MAPLE RD, SUITE 414, WEST BLOOMFIELD, MI 48322-4408
(248) 626-8889
(248) 366-1146
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002993
MI
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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