Organization
PERFORMANCE PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD JOHN NADEAU M.A., LLP (PRESIDENT)
(586) 764-0637
Entity
Organization
Contact information
Practice address
9287 SILVERSIDE, SOUTH LYON, MI 48178-9316
(586) 764-0637
(810) 695-0343
Mailing address
9287 SILVERSIDE, SOUTH LYON, MI 48178-9316
(586) 764-0637
(810) 695-0343
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301009306
MI
Other
Enumeration date
07/20/2008
Last updated
07/20/2008
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