Individual
MR. CHARLES VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LLP
Contact information
Practice address
835 MASON ST STE B220, DEARBORN, MI 48124-2262
(313) 561-9064
Mailing address
835 MASON ST STE B220, DEARBORN, MI 48124-2262
(313) 561-9064
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008006
MI
Other
Enumeration date
06/05/2007
Last updated
09/10/2025
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