Vladimir Robert James Vandalov PSYD

NPI 1013976182 - Counselor - 101YP2500X

NPI Details
NPI 1013976182
Gender Male
Enumeration Date 03/18/2006
Last Updated 07/21/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
10 W SQUARE LAKE RD
SUITE 101
BLOOMFIELD HILLS MI, 48302-0466, US
Phone (248) 990-0140
Fax (888) 510-9669
Business Location
10 W SQUARE LAKE RD
SUITE 101
BLOOMFIELD HILLS MI, 48302-0466, US
Phone (248) 990-0140
Fax (888) 510-9669
Toxanomy
Taxonomy Code 101YP2500X
License State Michigan
License Number 6401005273
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According to our database, Dr. Vladimir Robert James Vandalov PSYD NPI is 1013976182, taxonomy code is 101YP2500X and license number is 6401005273, license state is located at Michigan. Vladimir Robert James Vandalov PSYD physically located at 10 W Square Lake Rd, Bloomfield Hills MI, 48302-0466. NPI Number Vladimir Robert James Vandalov PSYD has the Individual type.

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1013976182 NPI number is provided on an as is basis without warranty of any kind. 1013976182 is maintained by the National Plan & Provider Enumeration System. The contents of Vladimir Robert James Vandalov PSYD are for informational purposes only.