Organization
LEWIS & MIKKOLA COMPREHENSIVE PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA JAMES LEWIS PH.D. (CO-DIRECTOR)
(248) 644-3200
Entity
Organization
Contact information
Practice address
30200 TELEGRAPH RD, SUITE #402, BINGHAM FARMS, MI 48025-4502
(248) 644-3200
(248) 644-3211
Mailing address
30200 TELEGRAPH RD, SUITE #402, BINGHAM FARMS, MI 48025-4502
(248) 644-3200
(248) 644-3211
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6301002406
MI
Other
Enumeration date
03/15/2008
Last updated
09/16/2008
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