Organization
SHEILA J EATON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA JOYCE EATON PH.D. (PRESIDENT)
(586) 795-4750
Entity
Organization
Contact information
Practice address
31201 CHICAGO RD S, SUITE A102, WARREN, MI 48093-5527
(586) 795-4750
Mailing address
14444 TALBOT DR, WARREN, MI 48088-7412
(586) 498-8583
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103641
VALUE OPTIONS
MI
Enumeration date
07/03/2007
Last updated
05/21/2009
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