Individual
MR. PATRICK JAMES KERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
8623 N WAYNE RD, WESTLAND, MI 48185-1137
(734) 425-0636
Mailing address
452 COLONIAL CT, GROSSE POINTE FARMS, MI 48236-2853
(313) 401-3048
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301013960
MI
103TC1900X
Counseling Psychologist
Primary
6301013960
MI
103TF0000X
Family Psychologist
6301013960
MI
Other
Enumeration date
11/05/2009
Last updated
03/23/2010
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