| Lisa F Marrocca Pc | |
|
200 E Big Beaver Rd Troy MI 48083-1208 | |
| (248) 519-1200 | |
| (248) 519-1201 |
| Full Name | Lisa F Marrocca Pc |
|---|---|
| Speciality | Psychologist |
| Location | 200 E Big Beaver Rd, Troy, Michigan |
| Authorized Official Name and Position | Lisa Frances Marrocca (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 2485191200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa F Marrocca Pc 200 E Big Beaver Rd Troy MI 48083-1208 Ph: (248) 519-1200 | Lisa F Marrocca Pc 200 E Big Beaver Rd Troy MI 48083-1208 Ph: (248) 519-1200 |
| NPI Number | 1528377264 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/10/2020 |
| Medicare PECOS PAC ID | 2466617345 |
|---|---|
| Medicare Enrollment ID | O20120627000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528377264 | NPI | - | NPPES |
| 266353000 | Other | MI | MAGELLAN |
| 68-0F3-3015-0 | Other | MI | BCBSM |
| 211541 | Other | MI | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301006708 (Michigan) | Primary |
| Provider Name | Lisa F Marrocca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811947682 PECOS PAC ID: 5193980076 Enrollment ID: I20120627000028 |
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