Individual
DR. CAROLE E. WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
603 N GAINSBOROUGH AVE, ROYAL OAK, MI 48067-1938
(248) 607-3455
(248) 592-7053
Mailing address
603 N GAINSBOROUGH AVE, ROYAL OAK, MI 48067-1938
(248) 607-3455
(248) 592-7053
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014339
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI4555001
PTAN
MI
Enumeration date
11/03/2010
Last updated
02/07/2019
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