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Organization

ALLAN B DEHORN, PHD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLAN B DEHORN PHD (OWNER)
(248) 723-1974
Entity
Organization

Contact information

Practice address
600 N OLD WOODWARD AVE, SUITE 304, BIRMINGHAM, MI 48009-1324
(248) 723-1974
(248) 723-1975
Mailing address
600 N OLD WOODWARD AVE, SUITE 304, BIRMINGHAM, MI 48009-1324
(248) 723-1974
(248) 723-1975

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002233
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OF34664
BCBSM
MI
Enumeration date
03/10/2007
Last updated
08/22/2020
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