Organization
PLATINUM PSYCHOLOGICAL SERVICES LLC
Active
Organization
PLATINUM PSYCHOLOGICAL SERVICES LLC
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
21 KERCHEVAL AVE STE 371, GROSSE POINTE FARMS, MI 48236-3698
(313) 806-7552
Mailing address
21 KERCHEVAL AVE STE 371, GROSSE POINTE FARMS, MI 48236-3698
(313) 806-7552
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015998
MI
261Q00000X
Clinic/Center
Primary
6301015998
MI
Other
Enumeration date
10/04/2016
Last updated
08/12/2026
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