| Mind Opened Therapy And Psychological Evaluations Pllc | |
|
2725 Packard St Ste 102 Ann Arbor MI 48108-3443 | |
| (248) 378-4163 | |
| Not Available |
| Full Name | Mind Opened Therapy And Psychological Evaluations Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2725 Packard St Ste 102, Ann Arbor, Michigan |
| Authorized Official Name and Position | Kristi Digioia (OWNER) |
| Authorized Official Contact | 2483784163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Opened Therapy And Psychological Evaluations Pllc 804 Woodstock Ln Tecumseh MI 49286-7549 Ph: (248) 378-4163 | Mind Opened Therapy And Psychological Evaluations Pllc 2725 Packard St Ste 102 Ann Arbor MI 48108-3443 Ph: (248) 378-4163 |
| NPI Number | 1316524358 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Medicare PECOS PAC ID | 7214333541 |
|---|---|
| Medicare Enrollment ID | O20210910002081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316524358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristi Digioia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518544550 PECOS PAC ID: 0840696175 Enrollment ID: I20210910002185 |
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