Pintar Psychological Services, Pc | |
12719 S West Bay Shore Dr Suite #9 Traverse City MI 49684-5489 | |
(231) 714-7054 | |
(231) 943-1032 |
Full Name | Pintar Psychological Services, Pc |
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Speciality | Psychologist |
Location | 12719 S West Bay Shore Dr, Traverse City, Michigan |
Authorized Official Name and Position | Jamie Michael Pintar (OWNER/PSYCHOLOGIST) |
Authorized Official Contact | 2317147054 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pintar Psychological Services, Pc 12719 S West Bay Shore Dr Suite #9 Traverse City MI 49684-5489 Ph: (231) 714-7054 | Pintar Psychological Services, Pc 12719 S West Bay Shore Dr Suite #9 Traverse City MI 49684-5489 Ph: (231) 714-7054 |
NPI Number | 1023352747 |
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Provider Enumeration Date | 11/19/2012 |
Last Update Date | 12/13/2012 |
Medicare PECOS PAC ID | 8527211879 |
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Medicare Enrollment ID | O20130117000008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023352747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 6301013916 (Michigan) | Secondary |
103T00000X | Psychologist | 6301013916 (Michigan) | Primary |
Provider Name | Jamie Michael Pintar |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1932467248 PECOS PAC ID: 9436302783 Enrollment ID: I20130117000016 |
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