| Judith Thurswell, Psyd, Pllc | |
|
5777 W Maple Rd 177 West Bloomfield MI 48322-2267 | |
| (248) 613-4443 | |
| (248) 562-7611 |
| Full Name | Judith Thurswell, Psyd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 5777 W Maple Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Judith Linda Thurswell (PRESIDENT) |
| Authorized Official Contact | 2486134443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Thurswell, Psyd, Pllc 5777 W Maple Rd 177 West Bloomfield MI 48322-2267 Ph: (248) 613-4443 | Judith Thurswell, Psyd, Pllc 5777 W Maple Rd 177 West Bloomfield MI 48322-2267 Ph: (248) 613-4443 |
| NPI Number | 1235403809 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 02/29/2012 |
| Medicare PECOS PAC ID | 7012297310 |
|---|---|
| Medicare Enrollment ID | O20161202000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235403809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301014257 (Michigan) | Primary |
| 251S00000X | Community/behavioral Health | 6401009511 (Michigan) | Secondary |
| Provider Name | Judith Linda Thurswell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225145162 PECOS PAC ID: 1557641859 Enrollment ID: I20161202000529 |
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