Individual
MR. RYAN PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
43900 GARFIELD RD STE 222, CLINTON TOWNSHIP, MI 48038-1137
(586) 263-1234
Mailing address
11369 GREENDALE DR, STERLING HEIGHTS, MI 48312-2926
(586) 949-6510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012507
MI
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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