| Introspections Llc | |
|
210 W University Dr Ste 6d Rochester MI 48307-1975 | |
| (586) 776-8885 | |
| Not Available |
| Full Name | Introspections Llc |
|---|---|
| Speciality | Social Worker |
| Location | 210 W University Dr Ste 6d, Rochester, Michigan |
| Authorized Official Name and Position | Debra Migliazzo (SELF) |
| Authorized Official Contact | 5867768885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Introspections Llc 210 W University Dr Ste 6d Rochester MI 48307-1975 Ph: (586) 776-8885 | Introspections Llc 210 W University Dr Ste 6d Rochester MI 48307-1975 Ph: (586) 776-8885 |
| NPI Number | 1760880025 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Medicare PECOS PAC ID | 0345551388 |
|---|---|
| Medicare Enrollment ID | O20150618000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760880025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801079987 (Michigan) | Primary |
| Provider Name | Debra M Migliazzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881867158 PECOS PAC ID: 5698916559 Enrollment ID: I20130719000106 |
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