| Dba Karen Duquette, Phd | |
|
540 E Division St Ishpeming MI 49849-2112 | |
| (906) 486-6860 | |
| Not Available |
| Full Name | Dba Karen Duquette, Phd |
|---|---|
| Speciality | Psychologist |
| Location | 540 E Division St, Ishpeming, Michigan |
| Authorized Official Name and Position | Karen Jean-pentland Duquette (PSYCHOLOGIST) |
| Authorized Official Contact | 9064866860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Karen Duquette, Phd 540 E Division St Ishpeming MI 49849-2112 Ph: (906) 486-6860 | Dba Karen Duquette, Phd 540 E Division St Ishpeming MI 49849-2112 Ph: (906) 486-6860 |
| NPI Number | 1831507342 |
|---|---|
| Provider Enumeration Date | 07/28/2014 |
| Last Update Date | 01/23/2015 |
| Medicare PECOS PAC ID | 7416271424 |
|---|---|
| Medicare Enrollment ID | O20150122001801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831507342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301015812 (Michigan) | Primary |
| Provider Name | Karen J Duquette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689098857 PECOS PAC ID: 2466776356 Enrollment ID: I20150126000271 |
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