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DR. IRA LOURIE PSY.D.

Clinical Neuropsychologist

Southfield, Michigan

Provider NPI: 1043234859

Provider Information:
DR. IRA  LOURIE PSY.D.
Gender: M
Sole Proprietor


Practice Location:
28220 FRANKLIN RD  SOUTHFIELD, MI 48034 US
Tel: 248-788-9708  Fax: 248-788-9708

Business Mailing Address:
PO BOX 44047  DETROIT, MI 48244 US
Tel: 248-584-0240  Fax: 248-584-0241

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MI630100750
N103T00000XBehavioral Health & Social Service Providers
Psychologist
MI630100750









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