MR. Russell Lee Dore, EDD, LP
NPI #1114125200 in Northville, Michigan
Provider Information
- NPI Number
- 1114125200
- Entity Type
- Individual
- Name
- MR. Russell Lee Dore, EDD, LP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- EDD, LP
- Enumeration Date
- Jul 10, 2007
- Last Updated
- Jul 10, 2007
Practice Location
- Address
- 215 E MAIN ST
- Address 2
- #201
- City
- Northville
- State
- Michigan
- ZIP Code
- 48167-1681
- Phone
- (248) 348-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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