Individual
DR. MICHAEL D. REGENOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4646 JOHN R ST, 11 MH-DOM, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, 11 MH-DOM, DETROIT, MI 48201-1916
(313) 576-1000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014041
MI
Other
Enumeration date
10/20/2007
Last updated
05/22/2012
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