Individual
PAUL ROODBEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
18956 ELMER DR, MACOMB, MI 48044-1250
(586) 801-0822
Mailing address
18956 ELMER DR, MACOMB, MI 48044-1250
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009767
MI
Other
Enumeration date
05/04/2019
Last updated
05/04/2019
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