Individual
MR. PHILLIP ROBERT ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.L.P.
Contact information
Practice address
8600 WOODWARD AVE, DETROIT, MI 48202-2142
(313) 875-7601
(313) 875-7622
Mailing address
472 ARDMORE DR, FERNDALE, MI 48220-2817
(313) 247-8813
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007911
MI
Other
Enumeration date
07/01/2010
Last updated
11/19/2015
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