| J. Bruce Hillenberg, Ph.d., P.l.l.c. | |
|
3577 W 13 Mile Rd Suite 142 Royal Oak MI 48073-6710 | |
| (248) 892-4364 | |
| (248) 551-8437 |
| Full Name | J. Bruce Hillenberg, Ph.d., P.l.l.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3577 W 13 Mile Rd, Royal Oak, Michigan |
| Authorized Official Name and Position | Jeffry Bruce Hillenberg (SOLE MEMBER) |
| Authorized Official Contact | 2488924364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Bruce Hillenberg, Ph.d., P.l.l.c. 32215 Shrewsbury St Farmington Hills MI 48334-1638 Ph: (248) 892-4364 | J. Bruce Hillenberg, Ph.d., P.l.l.c. 3577 W 13 Mile Rd Suite 142 Royal Oak MI 48073-6710 Ph: (248) 892-4364 |
| NPI Number | 1861512329 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 07/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861512329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301006433 (Michigan) | Primary |
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