| Platinum Psychological Services | |
|
4777 E Outer Dr Ste 1154 Detroit MI 48234-3241 | |
| (313) 806-7552 | |
| Not Available |
| Full Name | Platinum Psychological Services |
|---|---|
| Speciality | Clinic/center |
| Location | 4777 E Outer Dr Ste 1154, Detroit, Michigan |
| Authorized Official Name and Position | Demetrius Edwin Ford (PSYCHOLOGIST) |
| Authorized Official Contact | 3138067552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Psychological Services 4777 E Outer Dr Ste 1154 Detroit MI 48234-3241 Ph: (313) 806-7552 | Platinum Psychological Services 4777 E Outer Dr Ste 1154 Detroit MI 48234-3241 Ph: (313) 806-7552 |
| NPI Number | 1891245775 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891245775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6301015998 (Michigan) | Primary |
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