| Doctor Name: | OVIDE F POMERLEAU |
| NPI Number: | 1003993635 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 6301006738 |
| Business Practice Address: | 1500 East Medical Center Dr 9th Floor University Hospital Recp D Ann Arbor, MI - 481090118 |
| Business Phone Number: | 7347645348 |
| Business Fax Number: | |
| Mailing Address: | 3621 S State St, 700 Kms Place ANN ARBOR |
| State: | MI |
| Postal Code: | 48108 |
| Phone Number: | 7349362047 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 6301006738 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |