| Dr. Carol Van Dyke, Psy.d. And Associates | |
|
31584 Schoolcraft Rd Livonia MI 48150 | |
| (734) 266-1335 | |
| (734) 427-0060 |
| Full Name | Dr. Carol Van Dyke, Psy.d. And Associates |
|---|---|
| Speciality | Counselor |
| Location | 31584 Schoolcraft Rd, Livonia, Michigan |
| Authorized Official Name and Position | Carol Van Dyke (OWNER) |
| Authorized Official Contact | 7342661335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Carol Van Dyke, Psy.d. And Associates 31584 Schoolcraft Rd Livonia MI 48150-1805 Ph: (734) 266-1335 | Dr. Carol Van Dyke, Psy.d. And Associates 31584 Schoolcraft Rd Livonia MI 48150 Ph: (734) 266-1335 |
| NPI Number | 1942727847 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9032559745 |
|---|---|
| Medicare Enrollment ID | O20240429001858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942727847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401007473 (Michigan) | Primary |
| Provider Name | Carol Vandyke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376616086 PECOS PAC ID: 3779741764 Enrollment ID: I20240429001975 |
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