Individual
DR. EMANUEL T VANBOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LP
Contact information
Practice address
42335 WOODWARD AVE, BLOOMFIELD HILLS, MI 48304-5040
(248) 333-1083
Mailing address
42335 WOODWARD AVE, BLOOMFIELD HILLS, MI 48304-5040
(248) 333-1083
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301011393
MI
103TC0700X
Clinical Psychologist
Primary
6301013909
MI
Other
Enumeration date
07/13/2007
Last updated
05/15/2024
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