Individual
DR. DAVID MITTELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
29551 GREENFIELD RD STE 204, SOUTHFIELD, MI 48076-5872
(248) 980-8349
(248) 848-3592
Mailing address
29551 GREENFIELD RD STE 204, SOUTHFIELD, MI 48076-5872
(248) 980-8349
(248) 848-3592
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
007389
MI
103TC0700X
Clinical Psychologist
Primary
007389
MI
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
05/24/2006
Last updated
04/04/2024
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