Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David Mark Madison, MALLP

Individual provider Psychologist · NPI 1497269609

David Mark Madison, MALLP is a Psychologist in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
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Practice location Address checks out

19445 W Warren Ave
Detroit, MI 48228-3361
Phone: (313) 307-0088
Fax: (313) 281-2235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6361006967 (MI)

Record details

NPI number1497269609
Entity typeIndividual (Type 1)
GenderMale
Credentials MALLP
Sole proprietorYes
NPI enumeratedNovember 27, 2017
Last updated in NPPESMay 21, 2022
Certification dateMay 21, 2022

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