Individual
DR. CHARLES OLIVER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PYSD
Contact information
Practice address
2501 ROCHESTER CT, TROY, MI 48083-1875
(248) 891-8380
Mailing address
2501 ROCHESTER CT, TROY, MI 48083-1875
(248) 764-9875
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6351004590
MI
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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