Individual
DR. RALPH JAMES SCHILLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1460 WALTON BLVD, SUITE 101, ROCHESTER HILLS, MI 48309-1753
(248) 652-1303
(248) 652-3620
Mailing address
1460 WALTON BLVD, SUITE 101, ROCHESTER HILLS, MI 48309-1753
(248) 652-1303
(248) 652-3620
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301001724
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6301001724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62OF34573
PSYCHOLOGIST
MI
Enumeration date
04/12/2007
Last updated
01/13/2012
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