Organization
OAKLAND PSYCHOLOGICAL CLINIC PC
Active
Other names
Oakland Psychological Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RICHELSON (CHIEF MEDICAL OFFICER)
(904) 456-0002
Entity
Organization
Contact information
Practice address
14165 N FENTON RD # 201, FENTON, MI 48430-1587
(904) 605-4986
Mailing address
1090 S TAMIAMI TRL STE 1, SARASOTA, FL 34236-9116
(904) 605-4986
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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