Whalio Doctors

NPI 1043234859

Ira Lourie, PSYD

Practitioner Clinical Neuropsychologist Southfield, MI

Practice location

Address
28220 Franklin Rd, Southfield, MI 48034-1659
Phone
(248) 788-9708
Fax
(248) 788-9708
Mailing address
PO Box 44047, Detroit, MI 48244-0047

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 630100750 (MI)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 630100750 (MI)

Registry record

NPI
1043234859
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jul 2006
Record last updated
21 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.