| Innovative Psychological Services And Assessments Pllc | |
|
1258 Hampton Rd Grosse Pointe Woods MI 48236-1363 | |
| (313) 732-7861 | |
| Not Available |
| Full Name | Innovative Psychological Services And Assessments Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1258 Hampton Rd, Grosse Pointe Woods, Michigan |
| Authorized Official Name and Position | Tasha Leno (OWNER) |
| Authorized Official Contact | 3137327861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Psychological Services And Assessments Pllc 1258 Hampton Rd Grosse Pointe Woods MI 48236-1363 Ph: (313) 732-7861 | Innovative Psychological Services And Assessments Pllc 1258 Hampton Rd Grosse Pointe Woods MI 48236-1363 Ph: (313) 732-7861 |
| NPI Number | 1154998953 |
|---|---|
| Provider Enumeration Date | 06/09/2021 |
| Last Update Date | 05/21/2023 |
| Certification Date | 05/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154998953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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