| Diversified Psychological Services Llc | |
|
5943 Stadium Dr Kalamazoo MI 49009-3016 | |
| (269) 303-5931 | |
| Not Available |
| Full Name | Diversified Psychological Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5943 Stadium Dr, Kalamazoo, Michigan |
| Authorized Official Name and Position | Zachariah Dugger (OWNER) |
| Authorized Official Contact | 2693035931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Psychological Services Llc 3320 Tamsin Ave Kalamazoo MI 49008-4002 Ph: (269) 303-5931 | Diversified Psychological Services Llc 5943 Stadium Dr Kalamazoo MI 49009-3016 Ph: (269) 303-5931 |
| NPI Number | 1538850037 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538850037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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