| Performance Psychology | |
|
9287 Silverside South Lyon MI 48178-9316 | |
| (586) 764-0637 | |
| (810) 695-0343 |
| Full Name | Performance Psychology |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9287 Silverside, South Lyon, Michigan |
| Authorized Official Name and Position | Todd John Nadeau (PRESIDENT) |
| Authorized Official Contact | 5867640637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Psychology 9287 Silverside South Lyon MI 48178-9316 Ph: (586) 764-0637 | Performance Psychology 9287 Silverside South Lyon MI 48178-9316 Ph: (586) 764-0637 |
| NPI Number | 1891950895 |
|---|---|
| Provider Enumeration Date | 07/20/2008 |
| Last Update Date | 07/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891950895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301009306 (Michigan) | Primary |
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