| Caelan Soma Pllc | |
|
3311 12 Mile Rd Berkley MI 48072-1394 | |
| (586) 899-5056 | |
| Not Available |
| Full Name | Caelan Soma Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3311 12 Mile Rd, Berkley, Michigan |
| Authorized Official Name and Position | Caelan K Soma (PRESIDENT) |
| Authorized Official Contact | 5868995056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caelan Soma Pllc 2310 Lloyd Ave Royal Oak MI 48073-3851 Ph: (586) 899-5056 | Caelan Soma Pllc 3311 12 Mile Rd Berkley MI 48072-1394 Ph: (586) 899-5056 |
| NPI Number | 1255956348 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255956348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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