| Charlene Mcgunn Phd Pllc | |
|
200 Diversion St Ste 150 Rochester Hills MI 48307-2207 | |
| (248) 370-8164 | |
| Not Available |
| Full Name | Charlene Mcgunn Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 200 Diversion St Ste 150, Rochester Hills, Michigan |
| Authorized Official Name and Position | Charlene Mcgunn (ADMINISTATOR) |
| Authorized Official Contact | 2483708164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlene Mcgunn Phd Pllc Po Box 70125 Rochester Hills MI 48307-0003 Ph: (248) 370-8164 | Charlene Mcgunn Phd Pllc 200 Diversion St Ste 150 Rochester Hills MI 48307-2207 Ph: (248) 370-8164 |
| NPI Number | 1790326379 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 10/04/2019 |
| Medicare PECOS PAC ID | 3072947753 |
|---|---|
| Medicare Enrollment ID | O20200106002278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790326379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Charlene L Mcgunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740356138 PECOS PAC ID: 5496732273 Enrollment ID: I20040630000302 |
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