Individual
DR. NORMAN PAUL DWAIHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
22811 GREATER MACK AVE, SUITE L9, ST CLAIR SHORES, MI 48080
(313) 971-3840
Mailing address
548 ANITA AVENUE, GROSSE POINTE WOODS, MI 48236
(313) 971-3840
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
6301005259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEO14520
BCBSM
—
Enumeration date
10/05/2006
Last updated
07/08/2007
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