| Oakland Psychological Clinic Pc | |
|
14165 N Fenton Rd # 201 Fenton MI 48430-1587 | |
| (904) 605-4986 | |
| Not Available |
| Full Name | Oakland Psychological Clinic Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 14165 N Fenton Rd # 201, Fenton, Michigan |
| Authorized Official Name and Position | Elliott Richelson (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9044560002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Psychological Clinic Pc 1090 S Tamiami Trl Ste 1 Sarasota FL 34236-9116 Ph: (904) 605-4986 | Oakland Psychological Clinic Pc 14165 N Fenton Rd # 201 Fenton MI 48430-1587 Ph: (904) 605-4986 |
| NPI Number | 1619754157 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619754157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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