| Joseph Bavonese Phd Pc | |
|
27172 Woodward Ave Ste 200 Royal Oak MI 48067-0965 | |
| (248) 546-0407 | |
| Not Available |
| Full Name | Joseph Bavonese Phd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 27172 Woodward Ave Ste 200, Royal Oak, Michigan |
| Authorized Official Name and Position | Joe Bavonese (OWNER) |
| 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 Ste 200 Royal Oak MI 48067-0965 Ph: (248) 546-0407 | Joseph Bavonese Phd Pc 27172 Woodward Ave Ste 200 Royal Oak MI 48067-0965 Ph: (248) 546-0407 |
| NPI Number | 1386108512 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386108512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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