Individual
RUSSELL H. REEVES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1640 AXTELL DR, TROY, MI 48084-4431
(248) 649-7191
(248) 649-5445
Mailing address
1640 AXTELL DR, TROY, MI 48084-4431
(248) 649-7191
(248) 649-5445
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
L743242
MI
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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