Laurel A. Sills, Psy.d., Pllc | |
31313 Northwestern Hwy Suite 120 Farmington Hills MI 48334-2559 | |
(248) 788-4230 | |
Not Available |
Full Name | Laurel A. Sills, Psy.d., Pllc |
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Speciality | Psychologist |
Location | 31313 Northwestern Hwy, Farmington Hills, Michigan |
Authorized Official Name and Position | Laurel Anne Sills (PSYCHOLOGIST/ OWNER) |
Authorized Official Contact | 2487884230 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Laurel A. Sills, Psy.d., Pllc 7182 Huntcliff West Bloomfield MI 48322-2938 Ph: (248) 788-4230 | Laurel A. Sills, Psy.d., Pllc 31313 Northwestern Hwy Suite 120 Farmington Hills MI 48334-2559 Ph: (248) 788-4230 |
NPI Number | 1104242429 |
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Provider Enumeration Date | 03/11/2014 |
Last Update Date | 03/11/2014 |
Medicare PECOS PAC ID | 4082844030 |
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Medicare Enrollment ID | O20140313000814 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104242429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301006969 (Michigan) | Primary |
Provider Name | Laurel A Sills |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1447345780 PECOS PAC ID: 6709043029 Enrollment ID: I20121008000554 |
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