| James Knowles Ph.d., P.c. | |
|
7581 Secor Rd Lambertville MI 48144-9624 | |
| (734) 347-8002 | |
| (248) 991-9360 |
| Full Name | James Knowles Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 7581 Secor Rd, Lambertville, Michigan |
| Authorized Official Name and Position | James Knowles (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7343478002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Knowles Ph.d., P.c. 20004 Parker St Livonia MI 48152-1596 Ph: () - | James Knowles Ph.d., P.c. 7581 Secor Rd Lambertville MI 48144-9624 Ph: (734) 347-8002 |
| NPI Number | 1164611059 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 07/08/2010 |
| Medicare PECOS PAC ID | 0547343386 |
|---|---|
| Medicare Enrollment ID | O20080215000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164611059 | NPI | - | NPPES |
| 680E812610 | Other | MI | BCBS |
| 04558 | Other | PARAMOUNT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301009946 (Michigan) | Primary |
| Provider Name | James B Knowles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679513568 PECOS PAC ID: 5698748382 Enrollment ID: I20040819000909 |
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