| Merton A Shill Phd, Pllc | |
|
924 Baldwin Ave Suite C Ann Arbor MI 48104-3523 | |
| (734) 662-0294 | |
| Not Available |
| Full Name | Merton A Shill Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 924 Baldwin Ave, Ann Arbor, Michigan |
| Authorized Official Name and Position | Merton Anthony Shill (PRESIDENT) |
| Authorized Official Contact | 7346620294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merton A Shill Phd, Pllc 924 Baldwin Ave Suite C Ann Arbor MI 48104-3523 Ph: (734) 662-0294 | Merton A Shill Phd, Pllc 924 Baldwin Ave Suite C Ann Arbor MI 48104-3523 Ph: (734) 662-0294 |
| NPI Number | 1669715298 |
|---|---|
| Provider Enumeration Date | 04/02/2013 |
| Last Update Date | 04/02/2013 |
| Medicare PECOS PAC ID | 4688046295 |
|---|---|
| Medicare Enrollment ID | O20230208001366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669715298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301003005 (Michigan) | Primary |
| Provider Name | Merton A Shill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891875761 PECOS PAC ID: 1759754773 Enrollment ID: I20230222001429 |
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