| 45th Parallel Psychological | |
|
685 E M 32 Ste 211 Gaylord MI 49735-7775 | |
| (989) 614-7766 | |
| Not Available |
| Full Name | 45th Parallel Psychological |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 685 E M 32 Ste 211, Gaylord, Michigan |
| Authorized Official Name and Position | Kristy Somerville (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9896140776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 45th Parallel Psychological 6837 Oakland Hills Dr Gaylord MI 49735-8743 Ph: (989) 614-0776 | 45th Parallel Psychological 685 E M 32 Ste 211 Gaylord MI 49735-7775 Ph: (989) 614-7766 |
| NPI Number | 1306580352 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306580352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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