Individual
DR. CHARLES DAVID MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4151 17 MILE RD STE D, STERLING HEIGHTS, MI 48310-6866
(586) 268-6712
(586) 268-6908
Mailing address
2958 ORBIT DR, LAKE ORION, MI 48360-1976
(248) 391-2043
(586) 268-6908
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002979
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042878
VALUE OPTIONS
MI
Enumeration date
09/15/2006
Last updated
07/08/2007
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