| Miriam A. Engstrom, Psyd, Llc | |
|
16845 Kercheval Ave Ste 6b Grosse Pointe Park MI 48230-1567 | |
| (313) 690-2468 | |
| (313) 733-2468 |
| Full Name | Miriam A. Engstrom, Psyd, Llc |
|---|---|
| Speciality | Counselor |
| Location | 16845 Kercheval Ave Ste 6b, Grosse Pointe Park, Michigan |
| Authorized Official Name and Position | Miriam Engstrom (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3136902468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam A. Engstrom, Psyd, Llc 16924 Saint Paul St Grosse Pointe Park MI 48230-1549 Ph: (313) 690-2468 | Miriam A. Engstrom, Psyd, Llc 16845 Kercheval Ave Ste 6b Grosse Pointe Park MI 48230-1567 Ph: (313) 690-2468 |
| NPI Number | 1982474359 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 9931546223 |
|---|---|
| Medicare Enrollment ID | O20240321003850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982474359 | NPI | - | NPPES |
| Provider Name | Miriam A Engstrom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255421293 PECOS PAC ID: 0749628394 Enrollment ID: I20240402003412 |
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