| Gail A. Starks Pllc | |
|
1851 Dorothea Rd Berkley MI 48072-1807 | |
| (248) 842-8297 | |
| Not Available |
| Full Name | Gail A. Starks Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1851 Dorothea Rd, Berkley, Michigan |
| Authorized Official Name and Position | Gail A Starks (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2488428297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gail A. Starks Pllc 1851 Dorothea Rd Berkley MI 48072-1807 Ph: (248) 842-8297 | Gail A. Starks Pllc 1851 Dorothea Rd Berkley MI 48072-1807 Ph: (248) 842-8297 |
| NPI Number | 1730633058 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 08/04/2016 |
| Medicare PECOS PAC ID | 7911286182 |
|---|---|
| Medicare Enrollment ID | O20161110000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730633058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301003908 (Michigan) | Primary |
| Provider Name | Gail A Starks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609948108 PECOS PAC ID: 8729064795 Enrollment ID: I20040630000341 |
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