Individual
DR. EUGENE EBNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
29994 NORTHWESTERN HWY STE J, FARMINGTON HILLS, MI 48334-3225
(248) 851-9379
(248) 851-8698
Mailing address
29994 NORTHWESTERN HWY STE J, FARMINGTON HILLS, MI 48334-3225
(248) 851-9379
(248) 851-8698
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301000555
MI
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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