| Meredith Psychological And Testing Services, Llc | |
|
5708 Venture Ct Ste B Kalamazoo MI 49009-2858 | |
| (269) 459-1818 | |
| (269) 365-9951 |
| Full Name | Meredith Psychological And Testing Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5708 Venture Ct Ste B, Kalamazoo, Michigan |
| Authorized Official Name and Position | Julie Davis (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2694591818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meredith Psychological And Testing Services, Llc 5985 W Main St Ste 101 Kalamazoo MI 49009-8708 Ph: (269) 459-1818 | Meredith Psychological And Testing Services, Llc 5708 Venture Ct Ste B Kalamazoo MI 49009-2858 Ph: (269) 459-1818 |
| NPI Number | 1558735266 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 02/01/2023 |
| Certification Date | 02/01/2023 |
| Medicare PECOS PAC ID | 6103121702 |
|---|---|
| Medicare Enrollment ID | O20160218002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558735266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie Meredith Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265776629 PECOS PAC ID: 6002050762 Enrollment ID: I20130918000758 |
| Provider Name | Daniel M Tuinstra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710484274 PECOS PAC ID: 4486901857 Enrollment ID: I20211115002178 |
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