| Central Michigan University | |
|
1101 Health Professions Bldg Ste 2105 Mt Pleasant MI 48859-0001 | |
| (989) 774-3904 | |
| (989) 774-1891 |
| Full Name | Central Michigan University |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1101 Health Professions Bldg, Mt Pleasant, Michigan |
| Authorized Official Name and Position | Sheryl Sias (CREDENTIALING) |
| Authorized Official Contact | 9897742597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Michigan University 1101 Health Professions Bldg Ste 2105 Mt Pleasant MI 48859-0001 Ph: (989) 774-3904 | Central Michigan University 1101 Health Professions Bldg Ste 2105 Mt Pleasant MI 48859-0001 Ph: (989) 774-3904 |
| NPI Number | 1073987616 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 11/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073987616 | NPI | - | NPPES |
| 193400000X | Other | TAXONOMY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TS0200X | Psychologist - School | (* (Not Available)) | Secondary |
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