| PhD Group | |
|
28800 Ryan Rd Suite 320 Warren MI 48092-4272 | |
| (586) 620-8100 | |
| (866) 227-7418 |
| Full Name | PhD Group |
|---|---|
| Speciality | Psychologist |
| Location | 28800 Ryan Rd, Warren, Michigan |
| Authorized Official Name and Position | Robert a Clemente (MANAGER) |
| Authorized Official Contact | 5866208100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| PhD Group 28800 Ryan Rd Suite 320 Warren MI 48092-4272 Ph: (586) 620-8100 | PhD Group 28800 Ryan Rd Suite 320 Warren MI 48092-4272 Ph: (586) 620-8100 |
| NPI Number | 1144467275 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144467275 | NPI | - | NPPES |
| 680F338910 | Other | MI | BCBS PIN NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (NU) | Primary |
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