Organization
OAKLAND PSYCHOLOGICAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RICHELSON M.D. (PRESIDENT, TREASURER, SECRETARY)
(904) 605-4986
Entity
Organization
Contact information
Practice address
10785 SOUTH SAGINAW STREET, SUITE A, GRAND BLANC, MI 48439-7003
(810) 695-0055
(810) 695-6813
Mailing address
PO BOX 7008, BLOOMFIELD HILLS, MI 48302-7008
(248) 322-0003
(248) 322-0006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
250145
MI
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/26/2007
Last updated
12/30/2022
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