LAD JOSEPH VIDERGAR

DETROIT, MI
NPI1982616363
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301003401)
Enumeration Date2006-08-13
Last Update Date2007-07-13
Business Address
Dr. LAD JOSEPH VIDERGAR Ph.D.
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Mailing Address
Dr. LAD JOSEPH VIDERGAR Ph.D.
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000