| Amy Zelidman, Pllc | |
|
36500 W 12 Mile Rd Farmington Hills MI 48331-3169 | |
| (248) 514-5354 | |
| Not Available |
| Full Name | Amy Zelidman, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 36500 W 12 Mile Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | Amy Zelidman (FULLY LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2485145354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Zelidman, Pllc 36500 W 12 Mile Rd Farmington Hills MI 48331-3169 Ph: (248) 514-5354 | Amy Zelidman, Pllc 36500 W 12 Mile Rd Farmington Hills MI 48331-3169 Ph: (248) 514-5354 |
| NPI Number | 1245708320 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Medicare PECOS PAC ID | 5799020863 |
|---|---|
| Medicare Enrollment ID | O20181218000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245708320 | NPI | - | NPPES |
| 6301018956 | Other | MI | LICENSE |
| 1760622666 | Other | MI | NPI 1 |
| Provider Name | Amy Zelidman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760622666 PECOS PAC ID: 2961747035 Enrollment ID: I20190131000105 |
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