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203 S Washington Ave Ste 30 Saginaw MI 48607-1217 | |
| (989) 259-9984 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 203 S Washington Ave Ste 30, Saginaw, Michigan |
| Authorized Official Name and Position | Donna Jo Wallis (BCBA - OWNER) |
| Authorized Official Contact | 9892599984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3599 E Southgate Dr Midland MI 48640-8507 Ph: (989) 259-9984 | 203 S Washington Ave Ste 30 Saginaw MI 48607-1217 Ph: (989) 259-9984 |
| NPI Number | 1396424628 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396424628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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Saginaw Psychological Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Hemmeter Rd, Saginaw, MI 48603 Phone: 989-799-2100 Fax: 989-799-2637 | |