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Interface I Pc
Clinical Child & Adolescent Psychologist in Waterford, Michigan
NPI 1801912753

Interface I Pc is a Clinical Child & Adolescent Psychologist based in Waterford, MI and is specialized in Clinical Child & Adolescent. Interface I Pc practices in Waterford, MI. The NPI Number for Interface I Pc is 1801912753 and holds a License No. 6301007437 (Michigan).

The current practice location address for Interface I Pc is 4170 Pontiac Lake Rd, Waterford, MI and can be reached out via phone at 248-674-2659 and via fax at 248-674-2659.

Location: 4170 Pontiac Lake Rd, Waterford, MI, 48328-1282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801912753
Provider Name
Interface I Pc
Credential
Provider Entity Type
Organization
Address
4170 Pontiac Lake Rd, Waterford, MI, 48328-1282
Phone Number
248-674-2659
Fax Number
248-674-2659
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
680F330170 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
4170 Pontiac Lake Rd
City
Waterford
State
Michigan
Zip
48328-1282
Phone Number
248-674-2659
Fax Number
248-674-2659
person
Provider Business Mailing Address Details
Address
4170 Pontiac Lake Rd
City
Waterford
State
Michigan
Zip
48328-1282
Phone Number
248-674-2659
Fax Number
248-674-2659
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
103TC2200X
License No.
6301007437 (Michigan)
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
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