| Integrated Health Psychology | |
|
210 Bradley St Commerce Twp MI 48382-2812 | |
| (248) 302-3104 | |
| Not Available |
| Full Name | Integrated Health Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 210 Bradley St, Commerce Twp, Michigan |
| Authorized Official Name and Position | Robert J Elwell (LLP/OWNER) |
| Authorized Official Contact | 2483023104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Health Psychology 210 Bradley St Commerce Twp MI 48382-2812 Ph: (248) 302-3104 | Integrated Health Psychology 210 Bradley St Commerce Twp MI 48382-2812 Ph: (248) 302-3104 |
| NPI Number | 1629568225 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 03/21/2024 |
| Certification Date | 02/26/2021 |
| Medicare PECOS PAC ID | 4486091014 |
|---|---|
| Medicare Enrollment ID | O20240319001540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629568225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301014559 (Michigan) | Primary |
| Provider Name | Robert J Elwell |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1467709055 PECOS PAC ID: 0749627859 Enrollment ID: I20240326000250 |
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