| Pathways Psychological Associates Pllc | |
|
112 E Chart St Plainwell MI 49080-1768 | |
| (269) 685-6363 | |
| (269) 685-5995 |
| Full Name | Pathways Psychological Associates Pllc |
|---|---|
| Speciality | Counselor |
| Location | 112 E Chart St, Plainwell, Michigan |
| Authorized Official Name and Position | Donald J Miller (OWNER) |
| Authorized Official Contact | 2696856363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Psychological Associates Pllc 112 E Chart St Plainwell MI 49080-1768 Ph: (269) 685-6363 | Pathways Psychological Associates Pllc 112 E Chart St Plainwell MI 49080-1768 Ph: (269) 685-6363 |
| NPI Number | 1770640377 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 09/11/2014 |
| Medicare PECOS PAC ID | 2062598808 |
|---|---|
| Medicare Enrollment ID | O20080319000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770640377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Lisa K Largo Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023003340 PECOS PAC ID: 5799675138 Enrollment ID: I20040318000677 |
| Provider Name | Patricia A Jorgenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538351150 PECOS PAC ID: 3274699335 Enrollment ID: I20090226000058 |
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