Individual
CARLOS GABRIEL OLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
601 JOHN ST STE M-124, KALAMAZOO, MI 49007-5377
(209) 341-7500
Mailing address
PO BOX 19694, KALAMAZOO, MI 49019-0694
(209) 365-3489
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301019447
MI
103T00000X
Psychologist
PSB94024360
CA
103TC0700X
Clinical Psychologist
Primary
6301019447
MI
Other
Enumeration date
11/06/2014
Last updated
05/15/2026
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