| Amy J. Charness | |
|
23810 Michigan Ave Suite 202b Dearborn MI 48124-1830 | |
| (313) 359-3161 | |
| (313) 359-4811 |
| Full Name | Amy J. Charness |
|---|---|
| Speciality | Clinic/Center |
| Location | 23810 Michigan Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Amy J. Trabitz (PRESIDENT) |
| Authorized Official Contact | 3133593161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy J. Charness 23810 Michigan Ave Suite 202b Dearborn MI 48124-1830 Ph: (313) 359-3161 | Amy J. Charness 23810 Michigan Ave Suite 202b Dearborn MI 48124-1830 Ph: (313) 359-3161 |
| NPI Number | 1821327222 |
|---|---|
| Provider Enumeration Date | 12/14/2009 |
| Last Update Date | 10/08/2013 |
| Medicare PECOS PAC ID | 8820132756 |
|---|---|
| Medicare Enrollment ID | O20100216000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821327222 | NPI | - | NPPES |
| Provider Name | Amy J Charness |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295898112 PECOS PAC ID: 5294879128 Enrollment ID: I20100216000653 |
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