| Anne Carptener Phd Plc | |
|
3408 Niles Rd Saint Joseph MI 49085-8628 | |
| (269) 429-3324 | |
| (269) 429-3323 |
| Full Name | Anne Carptener Phd Plc |
|---|---|
| Speciality | Psychologist |
| Location | 3408 Niles Rd, Saint Joseph, Michigan |
| Authorized Official Name and Position | Anne Carpenter (OWNER) |
| Authorized Official Contact | 2694293324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Carptener Phd Plc 3408 Niles Rd Saint Joseph MI 49085-8628 Ph: () - | Anne Carptener Phd Plc 3408 Niles Rd Saint Joseph MI 49085-8628 Ph: (269) 429-3324 |
| NPI Number | 1760016976 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Medicare PECOS PAC ID | 7719303627 |
|---|---|
| Medicare Enrollment ID | O20200821000936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760016976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Anne Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275845166 PECOS PAC ID: 6103851282 Enrollment ID: I20200821000984 |
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