Organization
JILL L. KOFENDER, PHD, PLLC
Active
Other names
Jill L. Schram, PhD, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JILL L KOFENDER PHD (OWNER)
(248) 867-8766
Entity
Organization
Contact information
Practice address
5640 WEST MAPLE RD, SUITE 205, WEST BLOOMFIELD, MI 48322-3718
(248) 867-8766
(248) 669-1925
Mailing address
5640 WEST MAPLE RD, SUITE 205, WEST BLOOMFIELD, MI 48322-3718
(248) 867-8766
(248) 669-1925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012830
MI
Other
Enumeration date
09/27/2007
Last updated
01/04/2016
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