Organization
SELF AND FAMILY ENTERPRISES L L C
Active
Other names
Self and Family Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH LOWE HUTCHISON PHD (OWNER)
(734) 586-0031
Entity
Organization
Contact information
Practice address
7521 N TELEGRAPH RD, SUITE 1, NEWPORT, MI 48166-9398
(734) 586-0031
(734) 586-0032
Mailing address
7521 N TELEGRAPH RD, SUITE 1, NEWPORT, MI 48166-9398
(734) 586-0031
(734) 586-0032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
MI
Other
Enumeration date
01/28/2008
Last updated
10/28/2008
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