Individual
DR. WILLIAM S. BOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3252 UNIVERSITY DR STE 140, AUBURN HILLS, MI 48326-2783
(667) 289-6579
Mailing address
3252 UNIVERSITY DR STE 140, AUBURN HILLS, MI 48326-2783
(677) 289-6579
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011209
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680D410100
BCBS OF MI
MI
Enumeration date
03/22/2007
Last updated
02/01/2024
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