| Jeffrey R. Kertes, Ph.d., Plc | |
|
32255 Northwestern Hwy Ste 60 Farmington Hills MI 48334-1505 | |
| (248) 851-1432 | |
| Not Available |
| Full Name | Jeffrey R. Kertes, Ph.d., Plc |
|---|---|
| Speciality | Psychologist |
| Location | 32255 Northwestern Hwy Ste 60, Farmington Hills, Michigan |
| Authorized Official Name and Position | Jeffrey Reuben Kertes (OWNER) |
| Authorized Official Contact | 2488511432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey R. Kertes, Ph.d., Plc 7001 Orchard Lake Rd Suite 424 West Bloomfield MI 48322-3604 Ph: (248) 626-4600 | Jeffrey R. Kertes, Ph.d., Plc 32255 Northwestern Hwy Ste 60 Farmington Hills MI 48334-1505 Ph: (248) 851-1432 |
| NPI Number | 1821275751 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Medicare PECOS PAC ID | 4385654805 |
|---|---|
| Medicare Enrollment ID | O20060428000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821275751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301009043 (Michigan) | Primary |
| Provider Name | Jeffrey Reuben Kertes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689767733 PECOS PAC ID: 2365452752 Enrollment ID: I20060502000105 |
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