| Christine Delange Phd Pllc | |
|
999 Haynes St Ste 235 Birmingham MI 48009-6702 | |
| (248) 613-0091 | |
| Not Available |
| Full Name | Christine Delange Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 999 Haynes St Ste 235, Birmingham, Michigan |
| Authorized Official Name and Position | Christine Delange (SOLO MBR) |
| Authorized Official Contact | 2486130091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Delange Phd Pllc 2715 Pembroke Rd Birmingham MI 48009-7514 Ph: (248) 613-0091 | Christine Delange Phd Pllc 999 Haynes St Ste 235 Birmingham MI 48009-6702 Ph: (248) 613-0091 |
| NPI Number | 1497530307 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Medicare PECOS PAC ID | 9537513395 |
|---|---|
| Medicare Enrollment ID | O20230927002060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497530307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine Delange |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225231160 PECOS PAC ID: 0446604201 Enrollment ID: I20231120002716 |
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