Organization
GIM TOH PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIM TOH (PHD)
(413) 230-6818
Entity
Organization
Contact information
Practice address
3135 PROFESSIONAL DR, ANN ARBOR, MI 48104-5131
(734) 531-8255
Mailing address
8 N WALLACE BLVD, YPSILANTI, MI 48197-4664
(413) 230-6818
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
10/02/2024
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