Organization
PSYCHOLOGICAL INSTITUTES OF MICHIGAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E ERARD PH.D. (PRESIDENT)
(248) 626-4622
Entity
Organization
Contact information
Practice address
7457 FRANKLIN ROAD, SUITE 210, BLOOMFIELD TWP, MI 48301
(248) 626-4622
(248) 626-2908
Mailing address
7457 FRANKLIN ROAD, SUITE 210, BLOOMFIELD TWP, MI 48301
(248) 626-4622
(248) 626-2908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011628
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704102153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F37073
BCBS MICHIGAN
MI
Enumeration date
01/11/2007
Last updated
10/01/2014
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