Individual
MR. JEFF JOSEPH ARCHAMBAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LLP
Contact information
Practice address
29895 GREENFIELD RD, SOUTHFIELD, MI 48076-5867
(248) 672-0143
Mailing address
1206 JANLAIN CT, BLOOMFIELD HILLS, MI 48302-2804
(248) 672-0143
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008628
MI
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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