| Neuro Wellness Institute Pc | |
|
2073 E Maple Rd Troy MI 48083-4493 | |
| (519) 490-8920 | |
| Not Available |
| Full Name | Neuro Wellness Institute Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2073 E Maple Rd, Troy, Michigan |
| Authorized Official Name and Position | Huilan Zhang (CEO) |
| Authorized Official Contact | 2262601181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Wellness Institute Pc 2073 E Maple Rd Troy MI 48083-4493 Ph: (226) 260-1181 | Neuro Wellness Institute Pc 2073 E Maple Rd Troy MI 48083-4493 Ph: (519) 490-8920 |
| NPI Number | 1366989584 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 02/03/2020 |
| Certification Date | 02/03/2020 |
| Medicare PECOS PAC ID | 2365877305 |
|---|---|
| Medicare Enrollment ID | O20200121000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366989584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301014375 (Michigan) | Primary |
| Provider Name | Hui Lan Zhang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649550005 PECOS PAC ID: 5890015234 Enrollment ID: I20150526001747 |
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