Aspire Therapy Services, Pllc | |
37000 Grand River Ave Ste 325 Farmington Hills MI 48335-2868 | |
(248) 624-8181 | |
(855) 624-8161 |
Full Name | Aspire Therapy Services, Pllc |
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Speciality | Psychologist |
Location | 37000 Grand River Ave Ste 325, Farmington Hills, Michigan |
Authorized Official Name and Position | Randal Clay Bruce (PRESIDENT) |
Authorized Official Contact | 2487390760 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aspire Therapy Services, Pllc Po Box 3380 Farmington Hills MI 48333-3380 Ph: (248) 624-8181 | Aspire Therapy Services, Pllc 37000 Grand River Ave Ste 325 Farmington Hills MI 48335-2868 Ph: (248) 624-8181 |
NPI Number | 1093190100 |
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Provider Enumeration Date | 07/30/2015 |
Last Update Date | 07/07/2023 |
Certification Date | 07/07/2023 |
Medicare PECOS PAC ID | 9335550680 |
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Medicare Enrollment ID | O20201118001269 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093190100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301007332 (Michigan) | Primary |
Provider Name | Randal C Bruce |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1306834551 PECOS PAC ID: 9830150184 Enrollment ID: I20041020001194 |
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