University Physician Group

NPI #1356556575 in Livonia, Michigan

Provider Information

NPI Number: 1356556575
Entity Type: Organization
Organization Name: University Physician Group
Primary Specialty: Counselor
Enumeration Date: May 11, 2007
Last Updated: Oct 26, 2016

Practice Location

Address: 16836 NEWBURGH RD
City: Livonia
State: Michigan
ZIP Code: 48154-1600
Phone: (734) 464-4220

Authorized Official

Name: MR. JEFFERY P KOHLITZ
Title: CHIEF FINANCIAL OFFICER
Phone: (248) 581-5930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X
Psychologist	103T00000X
Social Worker	104100000X
Marriage & Family Therapist	106H00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Counselor	101Y00000X	Primary

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