Dr. Julia A. Mohr, Plc | |
967 Spaulding Ave Se Suite E Ada MI 49301-3700 | |
(616) 956-9565 | |
Not Available |
Full Name | Dr. Julia A. Mohr, Plc |
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Speciality | Psychologist |
Location | 967 Spaulding Ave Se, Ada, Michigan |
Authorized Official Name and Position | Julia A. Mohr (PSYCHOLOGIST OWNER) |
Authorized Official Contact | 6169569565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr. Julia A. Mohr, Plc 967 Spaulding Ave Se Suite E Ada MI 49301-3700 Ph: (616) 956-9565 | Dr. Julia A. Mohr, Plc 967 Spaulding Ave Se Suite E Ada MI 49301-3700 Ph: (616) 956-9565 |
NPI Number | 1508999277 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 01/10/2009 |
Medicare PECOS PAC ID | 0547244667 |
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Medicare Enrollment ID | O20040616000693 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508999277 | NPI | - | NPPES |
68-0-D1-1279-0 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301010680 (Michigan) | Primary |
Provider Name | Julia A Mohr |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548393283 PECOS PAC ID: 6204810336 Enrollment ID: I20040616000827 |
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