Brian Graham Dates, M.A. Valid NPI
Individual provider · Clinical Psychologist · Bloomfield Hills, MI
- NPI
- 1700998457
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 6301002841 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Practice location
1750 S Telegraph Rd, Suite 101
Bloomfield Hills, MI 48302-0166
(248) 451-9085