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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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