| Clinical Psychology Services, Pllc | |
|
350 E Michigan Ave Suite 135 Kalamazoo MI 49007-3800 | |
| (269) 206-1480 | |
| (269) 366-4946 |
| Full Name | Clinical Psychology Services, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 E Michigan Ave, Kalamazoo, Michigan |
| Authorized Official Name and Position | Margaret O Ajayi-nabors (OWNER) |
| Authorized Official Contact | 2692061480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Psychology Services, Pllc 350 E Michigan Ave Suite 135 Kalamazoo MI 49007-3800 Ph: (269) 206-1480 | Clinical Psychology Services, Pllc 350 E Michigan Ave Suite 135 Kalamazoo MI 49007-3800 Ph: (269) 206-1480 |
| NPI Number | 1962807644 |
|---|---|
| Provider Enumeration Date | 10/24/2014 |
| Last Update Date | 10/24/2014 |
| Medicare PECOS PAC ID | 9537481007 |
|---|---|
| Medicare Enrollment ID | O20141211002000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962807644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Michigan) | Primary |
| Provider Name | Margaret O Ajayi Nabors |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336311257 PECOS PAC ID: 3870725237 Enrollment ID: I20140609000333 |
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