Evaluation Center Pc | |
5755 W Maple Rd Suite # 119 West Bloomfield MI 48322-4415 | |
(248) 932-8400 | |
(248) 932-0226 |
Full Name | Evaluation Center Pc |
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Speciality | Psychologist - Psychoanalysis |
Location | 5755 W Maple Rd, West Bloomfield, Michigan |
Authorized Official Name and Position | Herbert Gilbert (PRESIDENT) |
Authorized Official Contact | 2489328400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evaluation Center Pc 5755 W Maple Rd Suite # 119 West Bloomfield MI 48322-4415 Ph: (248) 932-8400 | Evaluation Center Pc 5755 W Maple Rd Suite # 119 West Bloomfield MI 48322-4415 Ph: (248) 932-8400 |
NPI Number | 1518124692 |
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Provider Enumeration Date | 05/17/2008 |
Last Update Date | 05/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518124692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0814X | Psychologist - Psychoanalysis | L1191059 (Michigan) | Primary |
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