Individual
MR. JONATHAN DOUGLAS REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7705
Mailing address
42 E SHORE DR, WHITMORE LAKE, MI 48189-9414
(734) 222-5168
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013240
MI
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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