Individual
DR. MICHAEL JAMES DEWULF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
4848
NC
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
4848
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS008536L
PA
Other
Enumeration date
03/05/2013
Last updated
10/01/2015
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