Organization
KALEIDOSCOPE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL D MALDAVER PHD (OWNER)
(248) 790-7766
Entity
Organization
Contact information
Practice address
4950 HIGHLAND RD, WATERFORD, MI 48328-1142
(248) 674-3382
(248) 674-0083
Mailing address
4950 HIGHLAND RD, WATERFORD, MI 48328-1142
(248) 674-3382
(248) 674-0083
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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