| Alpha Psychological Services, P.c. | |
|
41820 6 Mile Rd Ste 104 Northville MI 48168-2771 | |
| (248) 349-3131 | |
| (248) 349-3232 |
| Full Name | Alpha Psychological Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 41820 6 Mile Rd Ste 104, Northville, Michigan |
| Authorized Official Name and Position | Thomas R Clark (PRESIDENT) |
| Authorized Official Contact | 2483493131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Psychological Services, P.c. 41820 6 Mile Rd Ste 104 Northville MI 48168-2771 Ph: (248) 349-3131 | Alpha Psychological Services, P.c. 41820 6 Mile Rd Ste 104 Northville MI 48168-2771 Ph: (248) 349-3131 |
| NPI Number | 1831104678 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5395749147 |
|---|---|
| Medicare Enrollment ID | O20060908000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831104678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Michigan) | Primary |
| Provider Name | Patricia M Moylan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952496333 PECOS PAC ID: 0749384022 Enrollment ID: I20070326000433 |
| Provider Name | Thomas R Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407866981 PECOS PAC ID: 0749284594 Enrollment ID: I20080530000782 |
| Provider Name | Linda L Knowles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043431141 PECOS PAC ID: 3173791787 Enrollment ID: I20110727000132 |
| Provider Name | Steven M Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861914863 PECOS PAC ID: 3274962949 Enrollment ID: I20200806001986 |
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