Montgomery Psychological Services, Pllc | |
2131 Bryanston Crescent St Detroit MI 48207-3883 | |
(248) 539-3950 | |
(313) 567-9855 |
Full Name | Montgomery Psychological Services, Pllc |
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Speciality | Community/behavioral Health |
Location | 2131 Bryanston Crescent St, Detroit, Michigan |
Authorized Official Name and Position | Edith R Montgomery (OWNER) |
Authorized Official Contact | 2485393950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Montgomery Psychological Services, Pllc 32841 Middlebelt Rd Suite 409 Farmington Hills MI 48334-1771 Ph: (248) 539-3950 | Montgomery Psychological Services, Pllc 2131 Bryanston Crescent St Detroit MI 48207-3883 Ph: (248) 539-3950 |
NPI Number | 1225361884 |
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Provider Enumeration Date | 09/15/2009 |
Last Update Date | 10/04/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225361884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 6301008150 (Michigan) | Primary |
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