| Psychological Services Of Danville, Pllc | |
|
1024 High St Marquette MI 49855-3609 | |
| (859) 238-9469 | |
| Not Available |
| Full Name | Psychological Services Of Danville, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1024 High St, Marquette, Michigan |
| Authorized Official Name and Position | Louann Kruse (DOCTOR) |
| Authorized Official Contact | 8592389469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Of Danville, Pllc 1024 High St Marquette MI 49855-3609 Ph: (859) 238-9469 | Psychological Services Of Danville, Pllc 1024 High St Marquette MI 49855-3609 Ph: (859) 238-9469 |
| NPI Number | 1922138031 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Medicare PECOS PAC ID | 1052713062 |
|---|---|
| Medicare Enrollment ID | O20210714000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922138031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
| Provider Name | Louann Kruse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295774560 PECOS PAC ID: 2961468053 Enrollment ID: I20210714000598 |
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