John S Hand Phd Pc & Associates | |
1200 N West Ave Ste 812 Jackson MI 49202-2180 | |
(517) 783-4418 | |
(517) 783-4504 |
Full Name | John S Hand Phd Pc & Associates |
---|---|
Speciality | Psychologist |
Location | 1200 N West Ave Ste 812, Jackson, Michigan |
Authorized Official Name and Position | John Steven Hand (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 5177834418 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
John S Hand Phd Pc & Associates 1200 N West Ave Ste 812 Jackson MI 49202-2180 Ph: (517) 783-4418 | John S Hand Phd Pc & Associates 1200 N West Ave Ste 812 Jackson MI 49202-2180 Ph: (517) 783-4418 |
NPI Number | 1740325786 |
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Provider Enumeration Date | 02/20/2007 |
Last Update Date | 05/08/2019 |
Medicare PECOS PAC ID | 4486824703 |
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Medicare Enrollment ID | O20110824000392 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740325786 | NPI | - | NPPES |
13526 | Medicaid | MI | |
MI4806 | Other | MI | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | John S Hand |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710042916 PECOS PAC ID: 5991975211 Enrollment ID: I20110824000512 |
Provider Name | Martha C Kelley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972649572 PECOS PAC ID: 9638349962 Enrollment ID: I20110824000563 |
Provider Name | Carol A Heckaman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891160511 PECOS PAC ID: 8729383484 Enrollment ID: I20160218001024 |
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