John Joseph Pietrofesa ED.D.

NPI 1649322181 - Psychologist - 103T00000X

NPI Details
NPI 1649322181
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
74 W LONG LAKE RD
SUITE 104
BLOOMFIELD HILLS MI, 48304-2769, US
Phone (248) 642-6066
Fax (248) 642-5739
Business Location
PO BOX 99
BLOOMFIELD HILLS MI, 48303-0099, US
Phone (248) 646-0821
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Michigan
License Number 6301005293
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According to our database, Dr. John Joseph Pietrofesa ED.D. NPI is 1649322181, taxonomy code is 103T00000X and license number is 6301005293, license state is located at Michigan. John Joseph Pietrofesa ED.D. physically located at 74 W Long Lake Rd, Bloomfield Hills MI, 48304-2769. NPI Number John Joseph Pietrofesa ED.D. has the Individual type.

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1649322181 NPI number is provided on an as is basis without warranty of any kind. 1649322181 is maintained by the National Plan & Provider Enumeration System. The contents of John Joseph Pietrofesa ED.D. are for informational purposes only.