Dunn Psychological Services Llc | |
4467 Cascade Rd Se Grand Rapids MI 49546-3776 | |
(616) 419-8107 | |
Not Available |
Full Name | Dunn Psychological Services Llc |
---|---|
Speciality | Psychologist |
Location | 4467 Cascade Rd Se, Grand Rapids, Michigan |
Authorized Official Name and Position | Marianne Dunn (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6164198107 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dunn Psychological Services Llc 4467 Cascade Rd Se Ste 4469 Grand Rapids MI 49546-3776 Ph: (616) 419-8107 | Dunn Psychological Services Llc 4467 Cascade Rd Se Grand Rapids MI 49546-3776 Ph: (616) 419-8107 |
NPI Number | 1447036777 |
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Provider Enumeration Date | 09/04/2023 |
Last Update Date | 09/04/2023 |
Certification Date | 09/02/2023 |
Medicare PECOS PAC ID | 5395195028 |
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Medicare Enrollment ID | O20231221001166 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447036777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Marianne Dunn |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174740088 PECOS PAC ID: 5092813162 Enrollment ID: I20070613000512 |
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