| Creative Dimension Psychotherapy Pllc | |
|
41000 Woodward Ave Ste 350 Bloomfield Hills MI 48304-5092 | |
| (313) 316-8962 | |
| Not Available |
| Full Name | Creative Dimension Psychotherapy Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 41000 Woodward Ave Ste 350, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | George Vanderbossche (OWNER) |
| Authorized Official Contact | 3133168962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Dimension Psychotherapy Pllc 25657 Colgate St Dearborn Heights MI 48125-1548 Ph: (313) 316-8962 | Creative Dimension Psychotherapy Pllc 41000 Woodward Ave Ste 350 Bloomfield Hills MI 48304-5092 Ph: (313) 316-8962 |
| NPI Number | 1235991241 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235991241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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