Affiliated Psychologists Of Michigan, P.c. | |
74 W Long Lake Rd Suite 104 Bloomfield Hills MI 48304-2769 | |
(248) 642-6066 | |
(248) 642-5739 |
Full Name | Affiliated Psychologists Of Michigan, P.c. |
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Speciality | Psychologist |
Location | 74 W Long Lake Rd, Bloomfield Hills, Michigan |
Authorized Official Name and Position | John P Pietrofesa (PRESIDENT) |
Authorized Official Contact | 2486426066 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Affiliated Psychologists Of Michigan, P.c. 74 W Long Lake Rd Suite 104 Bloomfield Hills MI 48304-2769 Ph: (248) 642-6066 | Affiliated Psychologists Of Michigan, P.c. 74 W Long Lake Rd Suite 104 Bloomfield Hills MI 48304-2769 Ph: (248) 642-6066 |
NPI Number | 1396918199 |
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Provider Enumeration Date | 04/12/2008 |
Last Update Date | 04/12/2008 |
Medicare PECOS PAC ID | 8426233248 |
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Medicare Enrollment ID | O20110421000024 |
Identifier | Type | State | Issuer |
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1396918199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Cathy J Pietrofesa |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1215081971 PECOS PAC ID: 7416132238 Enrollment ID: I20110421000048 |
Provider Name | Dennis J Jacobs |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1962414193 PECOS PAC ID: 0143405969 Enrollment ID: I20110421000067 |
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