| Mindbloom Psychological Services | |
|
53473 Tundra Dr Shelby Township MI 48316-2164 | |
| (734) 812-8541 | |
| Not Available |
| Full Name | Mindbloom Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 53473 Tundra Dr, Shelby Township, Michigan |
| Authorized Official Name and Position | Matthew R Maclellan (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7348128541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindbloom Psychological Services 53473 Tundra Dr Shelby Township MI 48316-2164 Ph: (734) 812-8541 | Mindbloom Psychological Services 53473 Tundra Dr Shelby Township MI 48316-2164 Ph: (734) 812-8541 |
| NPI Number | 1871228890 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 07/22/2022 |
| Certification Date | 07/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871228890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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