| Octave Behavioral Michigan Pc | |
|
2900 West Rd Ste 500 East Lansing MI 48823-6386 | |
| (415) 360-3833 | |
| (628) 203-4304 |
| Full Name | Octave Behavioral Michigan Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2900 West Rd Ste 500, East Lansing, Michigan |
| Authorized Official Name and Position | Kym Everett (VICE PRESIDENT, REVENUE OPERATIONS) |
| Authorized Official Contact | 6505042289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Octave Behavioral Michigan Pc 625 Market St Fl 15 San Francisco CA 94105-3316 Ph: (415) 360-3833 | Octave Behavioral Michigan Pc 2900 West Rd Ste 500 East Lansing MI 48823-6386 Ph: (415) 360-3833 |
| NPI Number | 1356026975 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356026975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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