George Lawrence Vanderbossche MA, LLP

NPI 1033137054 - Psychologist - 103T00000X

NPI Details
NPI 1033137054
Gender Male
Enumeration Date 07/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
17250 FARMINGTON RD
LIVONIA MI, 48152-3151, US
Phone (734) 425-4070
Fax (734) 425-8350
Business Location
28000 DEQUINDRE RD
WARREN MI, 48092-2468, US
Phone (586) 753-0405
Fax (586) 753-0404
Toxanomy
Taxonomy Code 103T00000X
License State Michigan
License Number 6301010771
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According to our database, George Lawrence Vanderbossche MA, LLP NPI is 1033137054, taxonomy code is 103T00000X and license number is 6301010771, license state is located at Michigan. George Lawrence Vanderbossche MA, LLP physically located at 17250 Farmington Rd, Livonia MI, 48152-3151. NPI Number George Lawrence Vanderbossche MA, LLP has the Individual type.

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1033137054 NPI number is provided on an as is basis without warranty of any kind. 1033137054 is maintained by the National Plan & Provider Enumeration System. The contents of George Lawrence Vanderbossche MA, LLP are for informational purposes only.