Oakland Psychological Clinic, P.c. | |
1455 S Lapeer Rd Ste 175n Lake Orion MI 48360 | |
(248) 393-5555 | |
(248) 393-1791 |
Full Name | Oakland Psychological Clinic, P.c. |
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Speciality | Social Worker |
Location | 1455 S Lapeer Rd Ste 175n, Lake Orion, Michigan |
Authorized Official Name and Position | Elliott Richelson (PRESIDENT, TREASURER, SECRETARY) |
Authorized Official Contact | 9046054986 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oakland Psychological Clinic, P.c. Po Box 7008 Bloomfield Hills MI 48302-7008 Ph: (248) 322-0003 | Oakland Psychological Clinic, P.c. 1455 S Lapeer Rd Ste 175n Lake Orion MI 48360 Ph: (248) 393-5555 |
NPI Number | 1598952129 |
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Provider Enumeration Date | 09/27/2007 |
Last Update Date | 12/30/2022 |
Certification Date | 12/30/2022 |
Medicare PECOS PAC ID | 2163315086 |
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Medicare Enrollment ID | O20040330001477 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598952129 | NPI | - | NPPES |
Provider Name | Shuja Haque |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427167378 PECOS PAC ID: 9335039817 Enrollment ID: I20040318000230 |
Provider Name | Nancy H Wrobel |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255427282 PECOS PAC ID: 7911990155 Enrollment ID: I20040405001222 |
Provider Name | Dion P Edwards |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386702272 PECOS PAC ID: 2769705979 Enrollment ID: I20141219000569 |
Provider Name | Kyle Powell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1376639500 PECOS PAC ID: 4789032004 Enrollment ID: I20231128000882 |
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