Organization
ADVANCED PSYCHIATRIC INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY L WHYTE JR. FNP-C, PHD (OWNER)
(248) 681-0623
Entity
Organization
Contact information
Practice address
950 N CASS LAKE RD, SUITE 107, WATERFORD, MI 48328-2370
(248) 681-0623
(248) 681-0927
Mailing address
950 N CASS LAKE RD, WATERFORD, MI 48328-2370
(248) 681-0623
(248) 681-0927
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005206330
—
MI
05
—
4368404
—
MI
01
—
5008670150
BCBS
MI
01
—
5008770600
BCBS
MI
Enumeration date
03/12/2008
Last updated
06/20/2008
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