Daniel Shepherd Dmin, Llc | |
210 W University Dr Ste 7 Rochester MI 48307-1975 | |
(248) 687-9251 | |
(248) 671-3198 |
Full Name | Daniel Shepherd Dmin, Llc |
---|---|
Speciality | Counselor |
Location | 210 W University Dr Ste 7, Rochester, Michigan |
Authorized Official Name and Position | Daniel Shepherd (COUPLE AND FAMILY THERAPIST) |
Authorized Official Contact | 2486879251 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Daniel Shepherd Dmin, Llc 210 W University Dr Ste 7 Rochester MI 48307-1975 Ph: (248) 687-9251 | Daniel Shepherd Dmin, Llc 210 W University Dr Ste 7 Rochester MI 48307-1975 Ph: (248) 687-9251 |
NPI Number | 1851928626 |
---|---|
Provider Enumeration Date | 03/23/2020 |
Last Update Date | 03/23/2020 |
Certification Date | 03/23/2020 |
Medicare PECOS PAC ID | 4880126218 |
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Medicare Enrollment ID | O20241010001099 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851928626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Daniel Roy Shepherd |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1083977169 PECOS PAC ID: 3870870421 Enrollment ID: I20241010001298 |
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