| Dexter Psychological Services Pllc | |
|
8011 Main St Dexter MI 48130-1027 | |
| (734) 395-9380 | |
| Not Available |
| Full Name | Dexter Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 8011 Main St, Dexter, Michigan |
| Authorized Official Name and Position | Marianne Elizabeth D'angelo (LICENSED PSYCHOLOGIST/FOUNDER) |
| Authorized Official Contact | 7343959380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dexter Psychological Services Pllc 8011 Main St Dexter MI 48130-1027 Ph: (734) 395-9380 | Dexter Psychological Services Pllc 8011 Main St Dexter MI 48130-1027 Ph: (734) 395-9380 |
| NPI Number | 1730561515 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 09/28/2016 |
| Medicare PECOS PAC ID | 4880903889 |
|---|---|
| Medicare Enrollment ID | O20151014000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730561515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301015743 (Michigan) | Primary |
| Provider Name | Marianne E Dangelo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730327115 PECOS PAC ID: 5799094793 Enrollment ID: I20151014000141 |
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