| Michell Myers Pc | |
|
5543 Bishop St Detroit MI 48224-2170 | |
| (313) 283-7423 | |
| (313) 826-6173 |
| Full Name | Michell Myers Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5543 Bishop St, Detroit, Michigan |
| Authorized Official Name and Position | Michell Ann Myers (CLINICAL PSYCHOLOGIST/CEO) |
| Authorized Official Contact | 3132837423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michell Myers Pc 5543 Bishop St Detroit MI 48224-2170 Ph: (313) 283-7423 | Michell Myers Pc 5543 Bishop St Detroit MI 48224-2170 Ph: (313) 283-7423 |
| NPI Number | 1790919470 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 05/08/2009 |
| Medicare PECOS PAC ID | 2365594504 |
|---|---|
| Medicare Enrollment ID | O20090717000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790919470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michell A Myers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386878064 PECOS PAC ID: 5496703092 Enrollment ID: I20050111000222 |
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