Individual
DANIEL ELI GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2311 E STADIUM BLVD STE 105S, ANN ARBOR, MI 48104-4821
(734) 741-0484
Mailing address
2311 E STADIUM BLVD STE 105S, ANN ARBOR, MI 48104-4821
(734) 741-0484
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007903
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680H147950
BCBS PIN
MI
Enumeration date
05/02/2007
Last updated
04/04/2021
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