Individual
VICKI M ADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
74 W LONG LAKE RD, SUITE 104, BLOOMFIELD HILLS, MI 48304-2769
(248) 642-6066
(248) 642-5739
Mailing address
3972 BLACKBURN DR, WEST BLOOMFIELD, MI 48323-3002
(248) 626-9136
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005484
MI
Other
Enumeration date
04/12/2008
Last updated
04/12/2008
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