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DR. WILLIAM RUSSELL NIXON PH.D.

Psychoanalysis

Birmingham, Michigan

Provider NPI: 1568621571

Provider Information:
DR. WILLIAM RUSSELL NIXON PH.D.
Gender: M
Sole Proprietor


Practice Location:
300 E MAPLE RD SUITE 323 BIRMINGHAM, MI 48009 US
Tel: 248-644-7368  Fax: 248-644-2901

Business Mailing Address:
300 E MAPLE RD SUITE 323 BIRMINGHAM, MI 48009 US
Tel: 248-644-7368  Fax: 248-644-2901

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TP0814XBehavioral Health & Social Service Providers
Psychologist
Psychoanalysis
MI002567

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PROVIDER NUMBER0N60160MI01
MEDICARE PROVIDER NUMBER0N60160MP01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







PSYCHOANALYSIS JOBS MI - Page 1



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