Organization
DR. FENTON AND ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SAMANTHA L QUINN (OFFICE MANAGER)
(586) 286-5870
Entity
Organization
Contact information
Practice address
8344 HALL RD STE 209, UTICA, MI 48317-5554
(586) 286-5870
(586) 286-5834
Mailing address
8344 HALL RD STE 209, UTICA, MI 48317-5554
(586) 286-5870
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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