Organization
ALLIANCE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONINO AGOSTA PSYD (OWNER)
(248) 678-8606
Entity
Organization
Contact information
Practice address
1135 W UNIVERSITY DR STE 445, ROCHESTER, MI 48307-1871
(224) 595-8416
Mailing address
2175 LONDON BRIDGE DR, ROCHESTER HILLS, MI 48307-4234
(248) 678-8606
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015487
MI
Other
Enumeration date
05/22/2015
Last updated
03/08/2022
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