| Michigan Psychological & Consulting Services Pc | |
|
43902 Woodward Ave Ste 230 Bloomfield Hills MI 48302 | |
| (248) 858-8412 | |
| (248) 858-8411 |
| Full Name | Michigan Psychological & Consulting Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 43902 Woodward Ave, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Firoza B Van Horn (OWNER) |
| Authorized Official Contact | 2488588412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Psychological & Consulting Services Pc 43902 Woodward Ave Stuite 230 Bloomfield Hills MI 48302 Ph: (248) 858-8412 | Michigan Psychological & Consulting Services Pc 43902 Woodward Ave Ste 230 Bloomfield Hills MI 48302 Ph: (248) 858-8412 |
| NPI Number | 1720284284 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 03/29/2018 |
| Medicare PECOS PAC ID | 7618059122 |
|---|---|
| Medicare Enrollment ID | O20080123000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720284284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301007958 (Michigan) | Primary |
| Provider Name | Firoza B Van Horn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982639472 PECOS PAC ID: 3072559897 Enrollment ID: I20050701000601 |
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