| Ckg Psych Inc | |
|
628 E Parent Ave Suite 202 Royal Oak MI 48067-3765 | |
| (510) 214-2544 | |
| Not Available |
| Full Name | Ckg Psych Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 628 E Parent Ave, Royal Oak, Michigan |
| Authorized Official Name and Position | Corie Gould (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4066982722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ckg Psych Inc 628 E Parent Ave Suite 202 Royal Oak MI 48067-3765 Ph: (510) 214-2544 | Ckg Psych Inc 628 E Parent Ave Suite 202 Royal Oak MI 48067-3765 Ph: (510) 214-2544 |
| NPI Number | 1013469410 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013469410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301016590 (Michigan) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 6301016590 (Michigan) | Secondary |
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