Individual
DR. SHERVIN TEHRANI-RAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, MPH
Contact information
Practice address
415 MAIN ST STE A, SAINT JOSEPH, MI 49085-3100
(269) 408-1688
Mailing address
415 MAIN ST STE A, SAINT JOSEPH, MI 49085-3100
(269) 408-1688
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
33059
CA
103G00000X
Clinical Neuropsychologist
6301017839
MI
103T00000X
Psychologist
33059
CA
103T00000X
Psychologist
6301017839
MI
103TC0700X
Clinical Psychologist
33059
CA
103TC0700X
Clinical Psychologist
Primary
6301017839
MI
Other
Enumeration date
08/27/2012
Last updated
10/09/2022
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