| Lai Psychological Services Llc | |
|
43700 Woodward Ave Ste 204 Bloomfield Hills MI 48302-5061 | |
| (248) 658-8121 | |
| Not Available |
| Full Name | Lai Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 43700 Woodward Ave Ste 204, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Lora Ala Imsaiah (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 2486588121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lai Psychological Services Llc 43206 Emily Dr Sterling Heights MI 48314-6303 Ph: (586) 381-3106 | Lai Psychological Services Llc 43700 Woodward Ave Ste 204 Bloomfield Hills MI 48302-5061 Ph: (248) 658-8121 |
| NPI Number | 1851144224 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/07/2024 |
| Medicare PECOS PAC ID | 9931548138 |
|---|---|
| Medicare Enrollment ID | O20240422000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851144224 | NPI | - | NPPES |
| Provider Name | Saige M Twombly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194208587 PECOS PAC ID: 8426418617 Enrollment ID: I20230719003724 |
| Provider Name | Lora Ala Imsaiah |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1639848393 PECOS PAC ID: 4385083583 Enrollment ID: I20240422000676 |
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