| Dennis Ortman Phd, P.c. | |
|
5528 Metro Pkwy Sterling Heights MI 48310-4105 | |
| (586) 795-3232 | |
| (586) 795-5540 |
| Full Name | Dennis Ortman Phd, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 5528 Metro Pkwy, Sterling Heights, Michigan |
| Authorized Official Name and Position | Dennis Clark Ortman (OWNER) |
| Authorized Official Contact | 5867953232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Ortman Phd, P.c. 5582 Metro Parkway Sterling Heights MI 48310-4105 Ph: (586) 795-3232 | Dennis Ortman Phd, P.c. 5528 Metro Pkwy Sterling Heights MI 48310-4105 Ph: (586) 795-3232 |
| NPI Number | 1730377672 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 05/17/2013 |
| Medicare PECOS PAC ID | 8224048798 |
|---|---|
| Medicare Enrollment ID | O20060427000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730377672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301008861 (Michigan) | Primary |
| Provider Name | Dennis Clark Ortman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346259181 PECOS PAC ID: 7113937681 Enrollment ID: I20060501000471 |
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