Individual
CONRAD PETER MAHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, TLLP
Contact information
Practice address
23 W 1ST ST, MONROE, MI 48161-2332
(734) 639-2262
(734) 621-5075
Mailing address
2829 DALTON AVE, ANN ARBOR, MI 48108-1227
(248) 345-3889
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301017647
MI
103T00000X
Psychologist
Primary
6361007659
MI
Other
Enumeration date
10/18/2018
Last updated
09/11/2023
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