Organization
PARKER CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL S PARKER LP (OWNER)
(248) 338-1700
Entity
Organization
Contact information
Practice address
43902 WOODWARD AVE STE 110, BLOOMFIELD HILLS, MI 48302-5021
(248) 338-1700
Mailing address
43902 WOODWARD AVE STE 110, BLOOMFIELD HILLS, MI 48302-5021
(248) 338-1700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011448
MI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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