East Bay Psychology, Pc | |
3926 Village Circle Dr. Traverse City MI 49686 | |
(231) 938-5900 | |
(231) 938-5900 |
Full Name | East Bay Psychology, Pc |
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Speciality | Psychologist - Clinical |
Location | 3926 Village Circle Dr., Traverse City, Michigan |
Authorized Official Name and Position | Terence Lee Bradley (OWNER & CEO) |
Authorized Official Contact | 2319385900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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East Bay Psychology, Pc 3926 Village Circle Dr. Traverse City MI 49686 Ph: (231) 938-5900 | East Bay Psychology, Pc 3926 Village Circle Dr. Traverse City MI 49686 Ph: (231) 938-5900 |
NPI Number | 1417346966 |
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Provider Enumeration Date | 01/21/2015 |
Last Update Date | 01/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417346966 | NPI | - | NPPES |
0B81230 | Other | MI | BCBS-M |
0Z5488 | Other | MI | BCBS-M |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301002718 (Michigan) | Primary |
Katharine Westie Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3537 W Front St, Suite F, Traverse City, MI 49684 Phone: 231-632-4282 | |
E. A. Austin Do Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Madison St, Traverse City, MI 49684 Phone: 231-946-0911 Fax: 231-935-0343 | |
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