| Eating Disorder Treatment Network | |
|
507 Colorado Ave Marysville MI 48040-2544 | |
| (810) 531-1479 | |
| Not Available |
| Full Name | Eating Disorder Treatment Network |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 507 Colorado Ave, Marysville, Michigan |
| Authorized Official Name and Position | Laura Elaine Shigley (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8105311479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eating Disorder Treatment Network 507 Colorado Ave Marysville MI 48040-2544 Ph: (810) 531-1479 | Eating Disorder Treatment Network 507 Colorado Ave Marysville MI 48040-2544 Ph: (810) 531-1479 |
| NPI Number | 1932259330 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932259330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (Michigan) | Primary |
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