Organization
PSYCHOLOGICAL INSTITUTES OF MICHIGAN, P.C.
Active
Parent organization
PSYCHOLOGICAL INSTITUTES OF MICHIGAN, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCHOLOGICAL INSTITUTES OF MICHIGAN, P.C.
Authorized official
DR. ROBERT E ERARD PH.D. (PRESIDENT)
(248) 626-4622
Entity
Organization
Contact information
Practice address
7457 FRANKLIN ROAD, SUITE 210, BLOOMFIELD TWP, MI 48301
(248) 626-4622
(248) 626-2908
Mailing address
7457 FRANKLIN ROAD, SUITE 210, BLOOMFIELD TWP, MI 48301
(248) 626-4622
(248) 626-2908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011628
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704102153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447300694
NPI
—
Enumeration date
12/06/2012
Last updated
10/01/2014
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