Individual
ROBERT J ELWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
210 BRADLEY ST, COMMERCE TWP, MI 48382-2812
(248) 302-3104
Mailing address
210 BRADLEY ST, COMMERCE TWP, MI 48382-2812
(248) 302-3104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014559
MI
Other
Enumeration date
08/14/2012
Last updated
07/17/2024
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