| John Ulrich Phd Llc | |
|
7883 E Lakeview Hills Rd Traverse City MI 49684-7547 | |
| (231) 947-5646 | |
| Not Available |
| Full Name | John Ulrich Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7883 E Lakeview Hills Rd, Traverse City, Michigan |
| Authorized Official Name and Position | John Ulrich (OWNER) |
| Authorized Official Contact | 2319475646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Ulrich Phd Llc Po Box 4415 Traverse City MI 49685-4415 Ph: (231) 947-5646 | John Ulrich Phd Llc 7883 E Lakeview Hills Rd Traverse City MI 49684-7547 Ph: (231) 947-5646 |
| NPI Number | 1437346426 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 1254340417 |
|---|---|
| Medicare Enrollment ID | O20060417000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437346426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301010195 (Michigan) | Primary |
| Provider Name | John F Ulrich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528101250 PECOS PAC ID: 7719940857 Enrollment ID: I20041109000847 |
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