| Mclaren Bay Region | |
|
690 S Trumbull St Bay City MI 48708 | |
| (989) 922-4900 | |
| (989) 922-4911 |
| Full Name | Mclaren Bay Region |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 690 S Trumbull St, Bay City, Michigan |
| Authorized Official Name and Position | Danielle C Jacks Porter (CFO) |
| Authorized Official Contact | 9898943838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclaren Bay Region 690 S Trumbull St Bay City MI 48708-7692 Ph: (989) 922-4900 | Mclaren Bay Region 690 S Trumbull St Bay City MI 48708 Ph: (989) 922-4900 |
| NPI Number | 1386069110 |
|---|---|
| Provider Enumeration Date | 03/04/2014 |
| Last Update Date | 08/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386069110 | NPI | - | NPPES |
| 470386129 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 4703086129 (Michigan) | Primary |
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