| Geriatric Psychiatric Services Pllc | |
|
9465 Counselors Row Suite 200 Indianapolis IN 46240-6423 | |
| (586) 620-8100 | |
| (866) 227-7418 |
| Full Name | Geriatric Psychiatric Services Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9465 Counselors Row, Indianapolis, Indiana |
| Authorized Official Name and Position | Robert A Clemente (ADMIN DIRECTOR) |
| Authorized Official Contact | 5866208100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Psychiatric Services Pllc 39465 W 14 Mile Rd Novi MI 48377-1600 Ph: (877) 906-9699 | Geriatric Psychiatric Services Pllc 9465 Counselors Row Suite 200 Indianapolis IN 46240-6423 Ph: (586) 620-8100 |
| NPI Number | 1073753323 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073753323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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