MEDICARE: ERIC AJLUNI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	6352001180	MI

General Provider Information

NPI Number	:	1295668838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC AJLUNI

Provider Business Mailing Address
First Line	:	30470 LEEMOOR ST
Second Line	:
City	:	BEVERLY HILLS
State	:	MI
Zip	:	48025-4915
Country	:	US
Telephone Number	:	248-513-2747
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 CROOKS RD STE 100
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-4733
Country	:	US
Telephone Number	:	247-731-7305
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ ERIC AJLUNI ” Practice Location

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