Organization
PLATINUM PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMETRIUS EDWIN FORD PSY. D. LLP (PSYCHOLOGIST)
(313) 806-7552
Entity
Organization
Contact information
Practice address
4777 E OUTER DR STE 1154, DETROIT, MI 48234-3241
(313) 806-7552
Mailing address
4777 E OUTER DR STE 1154, DETROIT, MI 48234-3241
(313) 806-7552
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
6301015998
MI
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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