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NPI Profile for SPECTRUM JUVENILE JUSTICE SERVICES in HIGHLAND PARK, MI.
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent Medicine |
207QA0000X | 08 | Physician/Family Practice | |
General Practice |
163WG0000X | |||
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry | |
Residential Treatment Facility, Emotionally Disturbed Children |
322D00000X |
| NPI Number | 1881578284 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/31/2025 | |
| Last updated | 11/13/2025 - About 7 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SPECTRUM JUVENILE JUSTICE SERVICES
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SPECTRUM JUVENILE JUSTICE SERVICES