Individual
DR. PHILIP T ROSKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
18181 OAKWOOD BLVD STE 411, DEARBORN, MI 48124-4082
(313) 982-5150
(313) 982-5157
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2008035687
MO
103G00000X
Clinical Neuropsychologist
Primary
6301015810
MI
103T00000X
Psychologist
2008035687
MO
103TC0700X
Clinical Psychologist
6301015810
MI
103TR0400X
Rehabilitation Psychologist
2008035687
MO
Other
Enumeration date
03/25/2010
Last updated
09/30/2022
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