| Joseph Bavonese Phd Pc | |
|
27172 Woodward Ave Suite Number 200 Royal Oak MI 48067-0963 | |
| (248) 546-0407 | |
| (248) 548-1925 |
| Full Name | Joseph Bavonese Phd Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 27172 Woodward Ave, Royal Oak, Michigan |
| Authorized Official Name and Position | Joe Bavonese (DIRECTOR) |
| Authorized Official Contact | 2485460407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Bavonese Phd Pc 27172 Woodward Ave Suite Number 200 Royal Oak MI 48067-0963 Ph: (248) 546-0407 | Joseph Bavonese Phd Pc 27172 Woodward Ave Suite Number 200 Royal Oak MI 48067-0963 Ph: (248) 546-0407 |
| NPI Number | 1174778682 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 05/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174778682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6301007576 (Michigan) | Primary |
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