| John W. Mccaskill, Ph.d., Pllc | |
|
409 Plymouth Rd Ste 250 Plymouth MI 48170-1842 | |
| (734) 416-9098 | |
| (734) 416-0158 |
| Full Name | John W. Mccaskill, Ph.d., Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 409 Plymouth Rd Ste 250, Plymouth, Michigan |
| Authorized Official Name and Position | John Walton Mccaskill (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7344169098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Mccaskill, Ph.d., Pllc 409 Plymouth Rd Ste 250 Plymouth MI 48170-1842 Ph: (734) 416-9098 | John W. Mccaskill, Ph.d., Pllc 409 Plymouth Rd Ste 250 Plymouth MI 48170-1842 Ph: (734) 416-9098 |
| NPI Number | 1356660583 |
|---|---|
| Provider Enumeration Date | 05/27/2010 |
| Last Update Date | 05/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356660583 | NPI | - | NPPES |
| 1801825542 | Other | MI | NPPES |
| 6301012562 | Other | MI | BOARD OF PSYCHOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301012562 (Michigan) | Primary |
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