| Creative Psychology Center Inc. | |
|
20816 E 11 Mile Rd Suite #113 Saint Clair Shores MI 48081-1565 | |
| (586) 447-0130 | |
| Not Available |
| Full Name | Creative Psychology Center Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20816 E 11 Mile Rd, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Keith D Russell (PRESIDENT) |
| Authorized Official Contact | 5864470130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Psychology Center Inc. 20816 E 11 Mile Rd Suite #113 Saint Clair Shores MI 48081-1565 Ph: (586) 447-0130 | Creative Psychology Center Inc. 20816 E 11 Mile Rd Suite #113 Saint Clair Shores MI 48081-1565 Ph: (586) 447-0130 |
| NPI Number | 1639349657 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639349657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801012479 (Michigan) | Primary |
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