Individual
GREIG SPODAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1450 S LAPEER RD, OXFORD, MI 48371-6108
(248) 969-9932
(248) 969-3006
Mailing address
1450 S LAPEER RD, OXFORD, MI 48371-6108
(248) 969-9932
(248) 969-3006
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301003937
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301003937
LICENSED PSYCOLOGIST
MI
Enumeration date
10/26/2009
Last updated
10/26/2009
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