Cypress Counseling Center, P.c. | |
3135 S State St Ste 108 Ann Arbor MI 48108 | |
(734) 369-3180 | |
(734) 369-3136 |
Full Name | Cypress Counseling Center, P.c. |
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Speciality | Psychologist |
Location | 3135 S State St Ste 108, Ann Arbor, Michigan |
Authorized Official Name and Position | Daniel Bingham (OWNER/DIRECTOR) |
Authorized Official Contact | 7343693180 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cypress Counseling Center, P.c. 3135 S State St Ste 108 Ann Arbor MI 48108-1653 Ph: (734) 369-3180 | Cypress Counseling Center, P.c. 3135 S State St Ste 108 Ann Arbor MI 48108 Ph: (734) 369-3180 |
NPI Number | 1679992432 |
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Provider Enumeration Date | 04/09/2014 |
Last Update Date | 11/16/2019 |
Medicare PECOS PAC ID | 3971736315 |
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Medicare Enrollment ID | O20140509000132 |
Identifier | Type | State | Issuer |
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1679992432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 6301015753 (Michigan) | Primary |
Provider Name | Daniel S Bingham |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1982843777 PECOS PAC ID: 1658564224 Enrollment ID: I20140509000167 |
Provider Name | Jordan P Backstrom |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1124552708 PECOS PAC ID: 5991066474 Enrollment ID: I20180223002352 |
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