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Individual

DR. DONALD JAMES MCEACHRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1545 KINGSWAY CT, 201, TRENTON, MI 48183-1931
(734) 671-5640
(734) 692-9284
Mailing address
8500 THORNTREE DR, GROSSE ILE, MI 48138-1586
(734) 671-5780

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005347
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
063569
VALUE OPTIONS
MI
01
68OH246340
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/25/2006
Last updated
11/14/2011
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