PLATINUM PSYCHOLOGICAL SERVICES NPI 1891245775

NPI Information

PLATINUM PSYCHOLOGICAL SERVICES is a clinic center in Detroit, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PLATINUM PSYCHOLOGICAL SERVICES NPI is 1891245775. The provider is registered as an organization entity type.

The provider's business location address is:

4777 E OUTER DR STE 1154
DETROIT, MI
ZIP 48234-241
Phone: (313) 806-7552

The provider's authorized official is Demetrius Edwin Ford .
The authorized official title is Psychologist and has the following contact phone number (313) 806-7552.

The enumeration date for this NPI number is 10/4/2016 and was last updated on 10/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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