| Dr. Maureen Rs Creal, Pllc | |
|
3083 Coolidge Hwy Berkley MI 48072-3523 | |
| (248) 850-1547 | |
| (248) 850-1545 |
| Full Name | Dr. Maureen Rs Creal, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3083 Coolidge Hwy, Berkley, Michigan |
| Authorized Official Name and Position | Maureen Rs Creal (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2488501547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Maureen Rs Creal, Pllc 3083 Coolidge Hwy Berkley MI 48072-3523 Ph: (248) 850-1547 | Dr. Maureen Rs Creal, Pllc 3083 Coolidge Hwy Berkley MI 48072-3523 Ph: (248) 850-1547 |
| NPI Number | 1366719668 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 12/02/2011 |
| Medicare PECOS PAC ID | 3274796180 |
|---|---|
| Medicare Enrollment ID | O20120511000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366719668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301014096 (Michigan) | Primary |
| Provider Name | Maureen Rs Creal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295928612 PECOS PAC ID: 8527221431 Enrollment ID: I20120511000324 |
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