Healthcare Provider Details

I. General information

NPI: 1841178860
Provider Name (Legal Business Name): COLE FRANCE PHD, LP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1058 BLAIRMOOR CT
GROSSE POINTE WOODS MI
48236-1245
US

IV. Provider business mailing address

1058 BLAIRMOOR CT
GROSSE POINTE WOODS MI
48236-1245
US

V. Phone/Fax

Practice location:
  • Phone: 402-770-1736
  • Fax:
Mailing address:
  • Phone: 402-770-1736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number26259080921
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: