Organization
HOPE LABORATORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANTE DEMITRIUS DIXSON PHD (PRESIDENT)
(415) 336-7707
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR STE 204, SOUTHFIELD, MI 48075-5226
(415) 336-7707
Mailing address
3070 WHISPERWOOD DR APT 417, ANN ARBOR, MI 48105-3419
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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