| Daniel J. Kachman, Ed. D., P.c. | |
|
700 S Main St Suite 208 Lapeer MI 48446-3077 | |
| (810) 664-4363 | |
| (810) 664-4364 |
| Full Name | Daniel J. Kachman, Ed. D., P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 700 S Main St, Lapeer, Michigan |
| Authorized Official Name and Position | Daniel John Kachman (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8106644363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J. Kachman, Ed. D., P.c. 700 S Main St Suite 208 Lapeer MI 48446-3077 Ph: (810) 664-4363 | Daniel J. Kachman, Ed. D., P.c. 700 S Main St Suite 208 Lapeer MI 48446-3077 Ph: (810) 664-4363 |
| NPI Number | 1619274636 |
|---|---|
| Provider Enumeration Date | 02/28/2011 |
| Last Update Date | 06/29/2016 |
| Medicare PECOS PAC ID | 7315115094 |
|---|---|
| Medicare Enrollment ID | O20110725000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619274636 | NPI | - | NPPES |
| 0D44517 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301002139 (Michigan) | Secondary |
| 251S00000X | Community/behavioral Health | 4101005376 (Michigan) | Primary |
| Provider Name | Daniel J Kachman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073647095 PECOS PAC ID: 1052589751 Enrollment ID: I20110725000457 |
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