| Milford Psychological Services, Pc | |
|
1042 N Milford Rd Ste 203 Milford MI 48381-5109 | |
| (248) 684-6003 | |
| (248) 684-6007 |
| Full Name | Milford Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1042 N Milford Rd Ste 203, Milford, Michigan |
| Authorized Official Name and Position | Annette Renee Evans (DIRECTOR) |
| Authorized Official Contact | 2486846003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milford Psychological Services, Pc 1042 N Milford Rd Ste 203 Milford MI 48381-5109 Ph: (248) 684-6003 | Milford Psychological Services, Pc 1042 N Milford Rd Ste 203 Milford MI 48381-5109 Ph: (248) 684-6003 |
| NPI Number | 1528116142 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 05/13/2015 |
| Medicare PECOS PAC ID | 3870569817 |
|---|---|
| Medicare Enrollment ID | O20051004000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528116142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301012090 (Michigan) | Primary |
| Provider Name | Annette Renee Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912004581 PECOS PAC ID: 9436138815 Enrollment ID: I20051004000815 |
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