| Bridges Spectrum Therapy Llc. | |
|
13019 Pauline Dr Shelby Township MI 48315-3122 | |
| (888) 770-7240 | |
| (248) 403-8506 |
| Full Name | Bridges Spectrum Therapy Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 13019 Pauline Dr, Shelby Township, Michigan |
| Authorized Official Name and Position | Christian Marriott (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8887707240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Spectrum Therapy Llc. 13019 Pauline Dr Shelby Township MI 48315-3122 Ph: (888) 770-7240 | Bridges Spectrum Therapy Llc. 13019 Pauline Dr Shelby Township MI 48315-3122 Ph: (888) 770-7240 |
| NPI Number | 1154070118 |
|---|---|
| Provider Enumeration Date | 03/18/2022 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 1456713866 |
|---|---|
| Medicare Enrollment ID | O20230817000887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154070118 | NPI | - | NPPES |
| Provider Name | Max E Mclean |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720552979 PECOS PAC ID: 6800227505 Enrollment ID: I20200513001938 |
| Provider Name | Tess Carolan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699360016 PECOS PAC ID: 4789083544 Enrollment ID: I20210527000485 |
| Provider Name | Kaitlyn Ruhlman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932601572 PECOS PAC ID: 9335528066 Enrollment ID: I20220627000314 |
| Provider Name | Rachel Batten |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235654948 PECOS PAC ID: 4688035751 Enrollment ID: I20230804003252 |
| Provider Name | Liane Joy Maxwell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801502208 PECOS PAC ID: 7810338878 Enrollment ID: I20240508003949 |
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