Individual
DR. RAYMOND SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7310 WOODWARD AVE, DETROIT, MI 48202-3165
(313) 896-1444
Mailing address
25047 MAPLERIDGE LANE, BROWNSTOWN CHARTER TOWNSHIP, MI 48134
(313) 415-9247
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012596
MI
Other
Enumeration date
04/11/2007
Last updated
04/28/2021
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