Elaine M Swenson Ma Llp Pllc | |
31000 Lahser Rd Ste 8 Beverly Hills MI 48025-4847 | |
(248) 723-6626 | |
Not Available |
Full Name | Elaine M Swenson Ma Llp Pllc |
---|---|
Speciality | Psychologist |
Location | 31000 Lahser Rd Ste 8, Beverly Hills, Michigan |
Authorized Official Name and Position | Elaine Swenson (OWNER) |
Authorized Official Contact | 2487236626 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Elaine M Swenson Ma Llp Pllc 31000 Lahser Rd Ste 8 Beverly Hills MI 48025-4847 Ph: (248) 723-6626 | Elaine M Swenson Ma Llp Pllc 31000 Lahser Rd Ste 8 Beverly Hills MI 48025-4847 Ph: (248) 723-6626 |
NPI Number | 1477191559 |
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Provider Enumeration Date | 12/19/2019 |
Last Update Date | 12/19/2019 |
Certification Date | 12/19/2019 |
Medicare PECOS PAC ID | 3779917646 |
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Medicare Enrollment ID | O20191231001168 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477191559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Elaine M Swenson |
---|---|
Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1124044037 PECOS PAC ID: 1355578626 Enrollment ID: I20131218001112 |
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