Individual
BART ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA.LLP.
Contact information
Practice address
29830 W 12 MILE RD, SUITE 303, FARMINGTON HILLS, MI 48334-4030
(810) 333-2274
Mailing address
29830 W 12 MILE RD, SUITE 303, FARMINGTON HILLS, MI 48334-4030
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011486
MI
Other
Enumeration date
11/21/2006
Last updated
02/17/2010
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