| Advanced Behavioral Medicine | |
|
2901 E Grand River Ave Howell MI 48843-8548 | |
| (517) 548-1537 | |
| (517) 548-9399 |
| Full Name | Advanced Behavioral Medicine |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2901 E Grand River Ave, Howell, Michigan |
| Authorized Official Name and Position | Evelyn Rose Dionise (OFFICE MANAGER) |
| Authorized Official Contact | 5175481537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Medicine 2901 E Grand River Ave Howell MI 48843-8548 Ph: (517) 548-1537 | Advanced Behavioral Medicine 2901 E Grand River Ave Howell MI 48843-8548 Ph: (517) 548-1537 |
| NPI Number | 1689608804 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 12/09/2020 |
| Certification Date | 12/09/2020 |
| Medicare PECOS PAC ID | 8820011364 |
|---|---|
| Medicare Enrollment ID | O20060110001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689608804 | NPI | - | NPPES |
| 104033 | Other | MI | PREFERRED CHOICES |
| 750910889 | Other | MI | BLUE CROSS BLUE SHIELD |
| Provider Name | Merry Esther Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962413831 PECOS PAC ID: 4880604131 Enrollment ID: I20060501000606 |
| Provider Name | Viken R Matossian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598896367 PECOS PAC ID: 2466475918 Enrollment ID: I20110420000664 |
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