Individual
DR. BARRY WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
552 S MAIN ST, ANN ARBOR, MI 48104-2921
(517) 784-0074
Mailing address
748 AUDUBON BLVD, JACKSON, MI 49203-3968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013309
MI
Other
Enumeration date
06/26/2008
Last updated
06/27/2008
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