Organization
TRI CARE PC
Active
Other names
Northland Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PHIA PARHAM (OFFICE MANAGER)
(248) 559-8190
Entity
Organization
Contact information
Practice address
31800 NORTHWESTERN HWY, SUITE 120, FARMINGTON HILLS, MI 48334-1663
(248) 559-8190
(248) 702-6704
Mailing address
31800 NORTHWESTERN HWY, SUITE 120, FARMINGTON HILLS, MI 48334-1663
(248) 559-8190
(248) 702-6704
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MI
104100000X
Social Worker
—
MI
Other
Enumeration date
11/30/2006
Last updated
10/17/2014
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