Organization
LOUIS DVORKIN, PH.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS DVORKIN PH.D. (PRESIDENT)
(248) 539-7747
Entity
Organization
Contact information
Practice address
4948 LAKE BLUFF CT, WEST BLOOMFIELD, MI 48323-2426
(248) 539-7747
Mailing address
6016 W MAPLE RD, SUITE 701, WEST BLOOMFIELD, MI 48322-4411
(248) 539-7747
(248) 539-7752
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103G00
MI
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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