| Julie Kwon, Ph.d.llc | |
|
2550 S Telegraph Rd Suite 240 Bloomfield Hills MI 48302-0950 | |
| (248) 733-5106 | |
| (248) 509-4072 |
| Full Name | Julie Kwon, Ph.d.llc |
|---|---|
| Speciality | Psychologist |
| Location | 2550 S Telegraph Rd, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Julie Kwon (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2487335106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Kwon, Ph.d.llc 2550 S Telegraph Rd Suite 240 Bloomfield Hills MI 48302-0950 Ph: (248) 733-5106 | Julie Kwon, Ph.d.llc 2550 S Telegraph Rd Suite 240 Bloomfield Hills MI 48302-0950 Ph: (248) 733-5106 |
| NPI Number | 1275958555 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 05/25/2014 |
| Medicare PECOS PAC ID | 1557585957 |
|---|---|
| Medicare Enrollment ID | O20140604001770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275958555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301012143 (Michigan) | Primary |
| Provider Name | Julie Kwon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497028468 PECOS PAC ID: 1153585450 Enrollment ID: I20140205000185 |
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