| Beaumont Professional Services | |
|
3601 W 13 Mile Rd Royal Oak MI 48073-6712 | |
| (248) 898-5000 | |
| Not Available |
| Full Name | Beaumont Professional Services |
|---|---|
| Speciality | Psychologist |
| Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
| Authorized Official Name and Position | Lesley Willbrandt (DIRECTOR-SHARED SERVICES) |
| Authorized Official Contact | 9475221911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Professional Services 26901 Beaumont Blvd Compliance Southfield MI 48033-4716 Ph: (947) 522-1964 | Beaumont Professional Services 3601 W 13 Mile Rd Royal Oak MI 48073-6712 Ph: (248) 898-5000 |
| NPI Number | 1184749012 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 05/19/2021 |
| Certification Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184749012 | NPI | - | NPPES |
| 680F372190 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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