| Progressive Neuro-psychiatry, P.c. | |
|
29240 Buckingham St Suite 8a Livonia MI 48154-4575 | |
| (248) 299-4211 | |
| (248) 299-2392 |
| Full Name | Progressive Neuro-psychiatry, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 29240 Buckingham St, Livonia, Michigan |
| Authorized Official Name and Position | Jorge S Zuniga (PRESIDENT) |
| Authorized Official Contact | 2482994211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Neuro-psychiatry, P.c. 29240 Buckingham St Suite 8a Livonia MI 48154-4575 Ph: (248) 299-4211 | Progressive Neuro-psychiatry, P.c. 29240 Buckingham St Suite 8a Livonia MI 48154-4575 Ph: (248) 299-4211 |
| NPI Number | 1578681649 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3072673722 |
|---|---|
| Medicare Enrollment ID | O20081125000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578681649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 033694 (Michigan) | Primary |
| Provider Name | Jorge S Zuniga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689638140 PECOS PAC ID: 1254415052 Enrollment ID: I20080303000322 |
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