Organization · Type 2 NPI
University Physician Group
Psychologist · Detroit, MI
Practice location
3901 Chrysler Dr, Tolan Park
Detroit, MI 48201-2167
Fax (313) 993-1372
Mailing address
1560 E. Maple Rd., Suite 400-CREDENTIALING Dept.
Troy, MI 48083-1138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | None listed |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1366481160
University Physician Group's National Provider Identifier is 1366481160, issued on Jun 6, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 26, 2016.