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Phoenix Macgregor, M.S. L.L.P.

Psychologist, Clinical in Lincoln Park, MI. Individual provider (NPI-1).

NPI number1730200775
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1730200775
Entity type
Individual (NPI-1)
Name
Ms. Phoenix Macgregor
Credential
M.S. L.L.P.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical6301011196MIYes

Practice location

26300 Outer Dr
Lincoln Park, MI 48146-2019

Phone 313-388-4630

Mailing address

2146 Montie Rd
Lincoln Park, MI 48146-1232

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