Dan Klainer, Ed.d. | |
3030 S 9th St Suite 2-e Kalamazoo MI 49009-7956 | |
(269) 375-0353 | |
Not Available |
Full Name | Dan Klainer, Ed.d. |
---|---|
Speciality | Psychologist |
Location | 3030 S 9th St, Kalamazoo, Michigan |
Authorized Official Name and Position | Dan R. Klainer (PSYCHOLOGIST) |
Authorized Official Contact | 2693750353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dan Klainer, Ed.d. 3030 S 9th St Suite 2-e Kalamazoo MI 49009-7956 Ph: (269) 375-0353 | Dan Klainer, Ed.d. 3030 S 9th St Suite 2-e Kalamazoo MI 49009-7956 Ph: (269) 375-0353 |
NPI Number | 1700956893 |
---|---|
Provider Enumeration Date | 11/08/2006 |
Last Update Date | 09/27/2007 |
Medicare PECOS PAC ID | 4082704754 |
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Medicare Enrollment ID | O20071218000430 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700956893 | NPI | - | NPPES |
6301001261 | Other | MI | LICENSE NUMBER |
68-OC-94-530 | Other | MI | BLUE CROSS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301001261 (Michigan) | Primary |
Provider Name | Daniel R Klainer |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194904912 PECOS PAC ID: 3274623947 Enrollment ID: I20071218000421 |
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