Individual
JOHN FRANCIS O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
25600 WOODWARD AVE, SUITE 107, ROYAL OAK, MI 48067-0943
(248) 542-8421
(248) 543-5719
Mailing address
25600 WOODWARD AVE, SUITE 107, ROYAL OAK, MI 48067-0943
(248) 542-8421
(248) 543-5719
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301003315
MI
103TC0700X
Clinical Psychologist
Primary
6301003315
MI
103TC0700X
Clinical Psychologist
680F328500
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F356940
BCBS MI
MI
Enumeration date
08/22/2005
Last updated
10/20/2020
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