| Huffman Psychology, Pllc | |
|
4572 S Hagadorn Rd Suite 2g East Lansing MI 48823-5385 | |
| (517) 337-9554 | |
| (517) 337-9545 |
| Full Name | Huffman Psychology, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4572 S Hagadorn Rd, East Lansing, Michigan |
| Authorized Official Name and Position | Tracy Freeze (CONSULTANT) |
| Authorized Official Contact | 2199268320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huffman Psychology, Pllc 4572 S Hagadorn Rd Suite 2g East Lansing MI 48823-5385 Ph: (517) 337-9554 | Huffman Psychology, Pllc 4572 S Hagadorn Rd Suite 2g East Lansing MI 48823-5385 Ph: (517) 337-9554 |
| NPI Number | 1528254729 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 03/03/2010 |
| Medicare PECOS PAC ID | 2567459274 |
|---|---|
| Medicare Enrollment ID | O20040426001697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528254729 | NPI | - | NPPES |
| 680C312320 | Other | MI | BCBS OF MI |
| 7771 | Other | MI | ACCESS ALLIANCE OF MI |
| 01006041 | Other | MI | HEALTH PLAN OF MICHIGAN |
| 200000006961 | Other | MI | SPHN PHPMM TPA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Jennifer Huffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508819699 PECOS PAC ID: 9537156245 Enrollment ID: I20040426001735 |
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