Organization · Type 2 NPI
Center for Individualized Medicine PLLC
Child & Adolescent Psychiatry Physician · Wyandotte, MI
NPI number
1760814289
Active
Practice location
1404 Biddle Ave
Wyandotte, MI 48192-3706
Fax (734) 326-1443
Mailing address
PO Box 251921
West Bloomfield, MI 48325-1921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 4301046425 (MI) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Another provider at this address
About NPI 1760814289
Center for Individualized Medicine PLLC's National Provider Identifier is 1760814289, issued on Aug 7, 2013. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Wyandotte, MI. The record was last updated on Aug 7, 2013.