| Myrtle C Means Phd Pc | |
|
23003 Greater Mack Ave Ste B Saint Clair Shores MI 48080-1965 | |
| (313) 574-6616 | |
| Not Available |
| Full Name | Myrtle C Means Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 23003 Greater Mack Ave Ste B, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Myrtle Charisse Means (PSYCHOLOGIST) |
| Authorized Official Contact | 3135746616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myrtle C Means Phd Pc 11285 Elkins Rd Ste D3 Roswell GA 30076-5835 Ph: (313) 574-6616 | Myrtle C Means Phd Pc 23003 Greater Mack Ave Ste B Saint Clair Shores MI 48080-1965 Ph: (313) 574-6616 |
| NPI Number | 1376722264 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 09/11/2019 |
| Medicare PECOS PAC ID | 2163327586 |
|---|---|
| Medicare Enrollment ID | O20031126000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376722264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301011889 (Michigan) | Primary |
| Provider Name | Myrtle Charisse Means |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710084801 PECOS PAC ID: 8123923547 Enrollment ID: I20031203000020 |
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