Organization
RICHARD KNEIP, PH.D., P.C.
Active
Other names
Great Lakes Psychology Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CARL KNEIP PH.D. (PRESIDENT)
(248) 701-2017
Entity
Organization
Contact information
Practice address
6548 TOWN CENTER DR STE D, CLARKSTON, MI 48346
(800) 693-1916
(248) 605-3525
Mailing address
PO BOX 772263, DETROIT, MI 48277-2263
(800) 693-1916
(248) 605-3525
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301007060
MI
Other
Enumeration date
07/29/2008
Last updated
05/23/2023
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