| Arbor Psychology Group, Pllc | |
|
44450 Pinetree Dr Suite 101 Plymouth MI 48170-3869 | |
| (734) 738-0897 | |
| (734) 738-0898 |
| Full Name | Arbor Psychology Group, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 44450 Pinetree Dr, Plymouth, Michigan |
| Authorized Official Name and Position | Michael Andrew Bambery (OWNER/DIRECTOR) |
| Authorized Official Contact | 7347380897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arbor Psychology Group, Pllc 44450 Pinetree Dr Suite 101 Plymouth MI 48170-3869 Ph: (734) 738-0897 | Arbor Psychology Group, Pllc 44450 Pinetree Dr Suite 101 Plymouth MI 48170-3869 Ph: (734) 738-0897 |
| NPI Number | 1952789877 |
|---|---|
| Provider Enumeration Date | 05/12/2015 |
| Last Update Date | 05/12/2015 |
| Medicare PECOS PAC ID | 3678824612 |
|---|---|
| Medicare Enrollment ID | O20181001002925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952789877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301013977 (Michigan) | Primary |
| Provider Name | Nannette Borise Gottfried |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376897215 PECOS PAC ID: 9638323553 Enrollment ID: I20130131000091 |
| Provider Name | Breeana Sobieski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003158957 PECOS PAC ID: 1759656754 Enrollment ID: I20171002000241 |
| Provider Name | Michael Andrew Bambery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215128608 PECOS PAC ID: 4587915525 Enrollment ID: I20181001003104 |
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