| Alpha Psychological Services Of Western Michigan | |
|
1804 Oak Ave Muskegon MI 49442-2408 | |
| (231) 773-8093 | |
| (231) 773-8952 |
| Full Name | Alpha Psychological Services Of Western Michigan |
|---|---|
| Speciality | Clinic/Center |
| Location | 1804 Oak Ave, Muskegon, Michigan |
| Authorized Official Name and Position | Allan Warren Crummett (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2317738093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Psychological Services Of Western Michigan 1804 Oak Ave Muskegon MI 49442-2408 Ph: (231) 773-8093 | Alpha Psychological Services Of Western Michigan 1804 Oak Ave Muskegon MI 49442-2408 Ph: (231) 773-8093 |
| NPI Number | 1811291990 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 03/25/2011 |
| Medicare PECOS PAC ID | 0648469742 |
|---|---|
| Medicare Enrollment ID | O20110105000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811291990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6301006533 (Michigan) | Primary |
| Provider Name | Allan W Crummett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356312276 PECOS PAC ID: 4688863780 Enrollment ID: I20110217000861 |
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