Individual
AUSTIN PETER GIACOMANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LLP
Contact information
Practice address
25900 GREENFIELD RD STE 100, OAK PARK, MI 48237-1297
(248) 788-4300
Mailing address
22600 HALL RD STE 201, CLINTON TOWNSHIP, MI 48036-1173
(810) 328-3477
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361008241
MI
Other
Enumeration date
08/12/2024
Last updated
11/25/2025
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