Ibh Psychological Services | |
5380 Holiday Ter Suite #32 Kalamazoo MI 49009-2154 | |
(269) 459-1512 | |
(269) 459-1514 |
Full Name | Ibh Psychological Services |
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Speciality | Psychologist |
Location | 5380 Holiday Ter, Kalamazoo, Michigan |
Authorized Official Name and Position | Sheryl Lozowski-sullivan (DIRECTOR) |
Authorized Official Contact | 2694591512 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ibh Psychological Services 5380 Holiday Ter Suite #32 Kalamazoo MI 49009-2154 Ph: (269) 459-1512 | Ibh Psychological Services 5380 Holiday Ter Suite #32 Kalamazoo MI 49009-2154 Ph: (269) 459-1512 |
NPI Number | 1295073393 |
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Provider Enumeration Date | 01/24/2013 |
Last Update Date | 10/06/2017 |
Medicare PECOS PAC ID | 2163797432 |
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Medicare Enrollment ID | O20171012001919 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295073393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 6301013297 (Michigan) | Primary |
Provider Name | Sheryl Lozowski-sullivan |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548447246 PECOS PAC ID: 8921373200 Enrollment ID: I20171012002434 |
Provider Name | Arlene Elizabeth Giacona |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508212697 PECOS PAC ID: 1658606157 Enrollment ID: I20190703002587 |
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