| Dearmond Professional Services Llc | |
|
8240 Embury Rd Grand Blanc MI 48439-7113 | |
| (810) 624-0234 | |
| (810) 396-6119 |
| Full Name | Dearmond Professional Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8240 Embury Rd, Grand Blanc, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dearmond Professional Services Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Dearmond Professional Services Llc 8240 Embury Rd Grand Blanc MI 48439-7113 Ph: (810) 624-0234 |
| NPI Number | 1427569979 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 10/23/2017 |
| Medicare PECOS PAC ID | 4880002625 |
|---|---|
| Medicare Enrollment ID | O20210416000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427569979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801094720 (Michigan) | Primary |
| Provider Name | Jennifer Ann Dearmond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023530292 PECOS PAC ID: 5799193538 Enrollment ID: I20210416000432 |
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