| Aloe Integrative Psychology Group | |
|
2490 Walton Blvd Ste 205 Rochester Hills MI 48309-1484 | |
| (248) 218-0622 | |
| (248) 218-0612 |
| Full Name | Aloe Integrative Psychology Group |
|---|---|
| Speciality | Psychologist |
| Location | 2490 Walton Blvd Ste 205, Rochester Hills, Michigan |
| Authorized Official Name and Position | Nicole Marie-budry Law (OWNER) |
| Authorized Official Contact | 2482180588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aloe Integrative Psychology Group 2490 Walton Blvd Ste 205 Rochester Hills MI 48309-1484 Ph: (248) 218-0622 | Aloe Integrative Psychology Group 2490 Walton Blvd Ste 205 Rochester Hills MI 48309-1484 Ph: (248) 218-0622 |
| NPI Number | 1548720469 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 10/28/2019 |
| Medicare PECOS PAC ID | 4880926658 |
|---|---|
| Medicare Enrollment ID | O20191028002118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548720469 | NPI | - | NPPES |
| Provider Name | Nicole M Law |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043610314 PECOS PAC ID: 9931496858 Enrollment ID: I20160921000346 |
| Provider Name | Roxanne Marie Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962836890 PECOS PAC ID: 8325406440 Enrollment ID: I20230622001213 |
| Provider Name | Cassiann Procenko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881125060 PECOS PAC ID: 9133588908 Enrollment ID: I20230711003774 |
| Provider Name | Frederick Joseph Hogan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154462067 PECOS PAC ID: 7618315714 Enrollment ID: I20240409003046 |
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