Organization
A R RICKFELDER PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN R RICKELDER PHD (PHD / OWNER)
(248) 348-1100
Entity
Organization
Contact information
Practice address
640 GRISWOLD ST, NORTHVILLE, MI 48167-1690
(248) 348-1100
(248) 348-3410
Mailing address
640 GRISWOLD ST, NORTHVILLE, MI 48167-1690
(248) 348-1100
(248) 348-3410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301001110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF34527
BCBS
MI
Enumeration date
07/15/2014
Last updated
07/15/2014
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