| Old Bat Inc | |
|
623 W Huron St 2nd Floor Ann Arbor MI 48103-6712 | |
| (734) 218-6644 | |
| (734) 956-5256 |
| Full Name | Old Bat Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 623 W Huron St, Ann Arbor, Michigan |
| Authorized Official Name and Position | Gina M Love (OWNER) |
| Authorized Official Contact | 7342186644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Bat Inc 623 W Huron St 2nd Floor Ann Arbor MI 48103-6712 Ph: (734) 218-6644 | Old Bat Inc 623 W Huron St 2nd Floor Ann Arbor MI 48103-6712 Ph: (734) 218-6644 |
| NPI Number | 1780971606 |
|---|---|
| Provider Enumeration Date | 06/29/2011 |
| Last Update Date | 07/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780971606 | NPI | - | NPPES |
| 0H10564 | Other | MI | BCBS IND PIN UNDER OBI |
| 0H10569 | Other | MI | BCBS PIN |
| 1386684157 | Other | MI | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301011905 (Michigan) | Primary |
Mary K Anderson Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N 1st St, Ste 1, Ann Arbor, MI 48104 Phone: 734-327-5934 | |
Jennifer Ratliff-moss Lmsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105 Phone: 734-905-6649 Fax: 734-369-3369 | |
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