Provider Demographics
NPI:1750311668
Name:PAPAZIAN, ROBERT AUEDIS (PSYD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:AUEDIS
Last Name:PAPAZIAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 KERCHEVAL AVE
Mailing Address - Street 2:SUITE 390
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-3629
Mailing Address - Country:US
Mailing Address - Phone:313-885-6400
Mailing Address - Fax:313-885-6807
Practice Address - Street 1:131 KERCHEVAL AVE
Practice Address - Street 2:SUITE 390
Practice Address - City:GROSSE POINTE FARMS
Practice Address - State:MI
Practice Address - Zip Code:48236-3629
Practice Address - Country:US
Practice Address - Phone:313-885-6400
Practice Address - Fax:313-885-6807
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION27440Medicare ID - Type Unspecified