Jack Phillip Haynes, PH.D. Valid NPI

Individual provider · Clinical Psychologist · Bloomfield Hills, MI

NPI

1801061270

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

63301001358 (MI)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-04-28

Last updated

2008-04-28