Organization
IRA LOURIE, PSY.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA LOURIE PSY.D. (PSYCHOLOGIST)
(248) 788-9708
Entity
Organization
Contact information
Practice address
30051 HIGH VALLEY RD, FARMINGTON HILLS, MI 48331-2144
(248) 788-9708
(248) 788-9708
Mailing address
30051 HIGH VALLEY RD, FARMINGTON HILLS, MI 48331-2144
(248) 788-9708
(248) 788-9708
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301007750
MI
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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