| Millicent M Perkins | |
|
5930 Lovers Ln Portage MI 49002-1673 | |
| (269) 344-9490 | |
| (269) 344-8696 |
| Full Name | Millicent M Perkins |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5930 Lovers Ln, Portage, Michigan |
| Authorized Official Name and Position | Millicent M Perkins (OWNER) |
| Authorized Official Contact | 2693449490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millicent M Perkins 5930 Lovers Ln Portage MI 49002-1673 Ph: (269) 344-9490 | Millicent M Perkins 5930 Lovers Ln Portage MI 49002-1673 Ph: (269) 344-9490 |
| NPI Number | 1013473768 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 02/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013473768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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