Organization
J. BRUCE HILLENBERG, PH.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFRY BRUCE HILLENBERG PH.D. (SOLE MEMBER)
(248) 892-4364
Entity
Organization
Contact information
Practice address
3577 W 13 MILE RD, SUITE 142, ROYAL OAK, MI 48073-6710
(248) 892-4364
(248) 551-8437
Mailing address
32215 SHREWSBURY ST, FARMINGTON HILLS, MI 48334-1638
(248) 892-4364
(248) 855-3983
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006433
MI
Other
Enumeration date
03/29/2007
Last updated
07/22/2007
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