Most Relevant Information
Provider Data
| NPI Number: | 1003432188 |
| Provider Name: | DEMAREE K JOSEPHON PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 6351002678 |
Most Important Dates
| Enumeration Date: | 06/24/2020 |
| Last Updated: | 06/24/2020 |
Provider Practice Location
31700 W 12 MILE RD STE 100
FARMINGTON HILLS
MI
483344424
Practice Location Phone/Fax
| Phone: | 5133127415 |
| Fax: |
Provider Mailing Location
5219 PINE HILL CIR
HOWELL
MI
488437418
Provider Mailing Phone/Fax
| Phone: | 5133127415 |
| Fax: |