Individual
DR. ALEX COSTINEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
38345 W 10 MILE RD, SUITE 150, FARMINGTON HILLS, MI 48335-2867
(248) 478-0466
(248) 478-0435
Mailing address
31700 W 13 MILE RD, STE 201, FARMINGTON HILLS, MI 48334-2171
(248) 478-0466
(248) 478-0435
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301002052
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F347340
BCBS
MI
01
—
680F356960
BCBS
MI
Enumeration date
05/27/2009
Last updated
06/11/2016
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