| Barefootsouls-com Inc | |
|
226 1st St Rochester MI 48307-2600 | |
| (313) 978-7792 | |
| Not Available |
| Full Name | Barefootsouls-com Inc |
|---|---|
| Speciality | Psychologist |
| Location | 226 1st St, Rochester, Michigan |
| Authorized Official Name and Position | Leslie Kaye (PRESIDENT) |
| Authorized Official Contact | 3139787792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barefootsouls-com Inc 226 1st St Rochester MI 48307-2600 Ph: (313) 978-7792 | Barefootsouls-com Inc 226 1st St Rochester MI 48307-2600 Ph: (313) 978-7792 |
| NPI Number | 1174835714 |
|---|---|
| Provider Enumeration Date | 07/12/2010 |
| Last Update Date | 07/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174835714 | NPI | - | NPPES |
| 0E02975 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301012459 (Michigan) | Primary |
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