| Counseling And Development Clinic | |
|
38345 W 10 Mile Rd Ste 150-a Farmington Hills MI 48335-2867 | |
| (810) 588-9204 | |
| (248) 987-2824 |
| Full Name | Counseling And Development Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 38345 W 10 Mile Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | Alex E Costinew (OWNER AND DIRECTOR) |
| Authorized Official Contact | 8105889204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Development Clinic 38345 W 10 Mile Rd Ste 150-a Farmington Hills MI 48335-2867 Ph: (810) 588-9204 | Counseling And Development Clinic 38345 W 10 Mile Rd Ste 150-a Farmington Hills MI 48335-2867 Ph: (810) 588-9204 |
| NPI Number | 1093820938 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 10/04/2010 |
| Medicare PECOS PAC ID | 0547430175 |
|---|---|
| Medicare Enrollment ID | O20110908002065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093820938 | NPI | - | NPPES |
| 0F34734 | Other | MI | BCBS OF MI PIN |
| Provider Name | Alex E Costinew |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962637413 PECOS PAC ID: 1951329762 Enrollment ID: I20051109000868 |
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