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1600 Gratiot Blvd Bldg. B, Suite 4 Marysville MI 48040-1145 | |
| (810) 364-5800 | |
| (810) 364-1200 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1600 Gratiot Blvd, Marysville, Michigan |
| Authorized Official Name and Position | Dianna Lynn Pratt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8103645800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1600 Gratiot Blvd Bldg. B, Suite 4 Marysville MI 48040-1145 Ph: (810) 364-5800 | 1600 Gratiot Blvd Bldg. B, Suite 4 Marysville MI 48040-1145 Ph: (810) 364-5800 |
| NPI Number | 1639234115 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639234115 | NPI | - | NPPES |
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