| Northern Clinical And Diagnostic Associates, Pllc | |
|
101 S James St Suite 215 Ludington MI 49431-2166 | |
| (231) 845-2900 | |
| (231) 845-2905 |
| Full Name | Northern Clinical And Diagnostic Associates, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 101 S James St, Ludington, Michigan |
| Authorized Official Name and Position | Eric R. Harvey (PSYCHOLOGIST) |
| Authorized Official Contact | 2318452900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Clinical And Diagnostic Associates, Pllc 101 S James St Suite 215 Ludington MI 49431-2166 Ph: (231) 845-2900 | Northern Clinical And Diagnostic Associates, Pllc 101 S James St Suite 215 Ludington MI 49431-2166 Ph: (231) 845-2900 |
| NPI Number | 1922282359 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 04/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922282359 | NPI | - | NPPES |
| 1821144015 | Other | INDIVIDUAL NPI NUMBER | |
| 68-0-E3-4503-0 | Other | MI | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301001424 (Michigan) | Primary |
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