Provider Demographics
NPI:1619945227
Name:PIHLGREN, ERIC M (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:M
Last Name:PIHLGREN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2811 WATERLOO DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-2682
Mailing Address - Country:US
Mailing Address - Phone:248-224-8550
Mailing Address - Fax:
Practice Address - Street 1:600 N OLD WOODWARD AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-1324
Practice Address - Country:US
Practice Address - Phone:248-224-8550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012047103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist