Individual
PAUL C PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
1200 S STATE ST, SUITE 1200 1F, ANN ARBOR, MI 48109-2203
(734) 255-0688
Mailing address
1200 S STATE ST, SUITE 1200 1F, ANN ARBOR, MI 48109-2203
(734) 255-0688
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015608
MI
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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