Livingston Psychological Services | |
204 W Grand River Ave Ste 260 Howell MI 48843 | |
(517) 540-6166 | |
(517) 546-9148 |
Full Name | Livingston Psychological Services |
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Speciality | Psychologist |
Location | 204 W Grand River Ave Ste 260, Howell, Michigan |
Authorized Official Name and Position | Hampton Eugene Walker (OWNER) |
Authorized Official Contact | 7343774580 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Livingston Psychological Services 204 W Grand River Ave Ste 260 Howell MI 48843-2250 Ph: (517) 540-6166 | Livingston Psychological Services 204 W Grand River Ave Ste 260 Howell MI 48843 Ph: (517) 540-6166 |
NPI Number | 1649792292 |
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Provider Enumeration Date | 07/14/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 7012261936 |
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Medicare Enrollment ID | O20181113001209 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649792292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | 6301006503 (Michigan) | Primary |
Provider Name | Hampton E Walker |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1316236235 PECOS PAC ID: 9133463870 Enrollment ID: I20181206000614 |
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