| Little Traverse Psychiatric Associates, Pc | |
|
2206 Mitchell Park Dr Ste 10 Petoskey MI 49770-8674 | |
| (231) 487-2415 | |
| (231) 487-6569 |
| Full Name | Little Traverse Psychiatric Associates, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2206 Mitchell Park Dr, Petoskey, Michigan |
| Authorized Official Name and Position | Robert George Fawcett (PRESIDENT) |
| Authorized Official Contact | 2314872415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Traverse Psychiatric Associates, Pc 2206 Mitchell Park Dr Ste 10 Petoskey MI 49770-8674 Ph: (231) 487-2415 | Little Traverse Psychiatric Associates, Pc 2206 Mitchell Park Dr Ste 10 Petoskey MI 49770-8674 Ph: (231) 487-2415 |
| NPI Number | 1992857338 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 05/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992857338 | NPI | - | NPPES |
| 260B41060 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Michigan) | Primary |
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