| Henry Ford Macomb Hospital | |
|
43411 Garfield Rd Clinton Township MI 48038-1152 | |
| (586) 226-7007 | |
| Not Available |
| Full Name | Henry Ford Macomb Hospital |
|---|---|
| Speciality | Psychologist |
| Location | 43411 Garfield Rd, Clinton Township, Michigan |
| Authorized Official Name and Position | Terry A Goodbalian (VP CMO) |
| Authorized Official Contact | 5862632305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford Macomb Hospital 215 North Ave Mount Clemens MI 48043-1716 Ph: (586) 226-7007 | Henry Ford Macomb Hospital 43411 Garfield Rd Clinton Township MI 48038-1152 Ph: (586) 226-7007 |
| NPI Number | 1992848972 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 04/23/2021 |
| Certification Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992848972 | NPI | - | NPPES |
| 680E062890 | Other | MI | BLUE CROSS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Michigan) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (Michigan) | Secondary |
Henry Ford Macomb Hospital Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43411 Garfield Rd, Clinton Township, MI 48038 Phone: 586-226-7007 | |
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