| Psychology Associates Of Michigan Pc | |
|
1708 Roseland Ave Royal Oak MI 48073-3978 | |
| (248) 514-5371 | |
| Not Available |
| Full Name | Psychology Associates Of Michigan Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1708 Roseland Ave, Royal Oak, Michigan |
| Authorized Official Name and Position | Amy E. Monicatti (PRESIDENT) |
| Authorized Official Contact | 2485145371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Associates Of Michigan Pc 1708 Roseland Ave Royal Oak MI 48073-3978 Ph: (248) 514-5371 | Psychology Associates Of Michigan Pc 1708 Roseland Ave Royal Oak MI 48073-3978 Ph: (248) 514-5371 |
| NPI Number | 1710189147 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 03/19/2013 |
| Medicare PECOS PAC ID | 8527012905 |
|---|---|
| Medicare Enrollment ID | O20050309000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710189147 | NPI | - | NPPES |
| DF3207 | Other | MI | MEDICARE RR |
| 680F332420 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301011291 (Michigan) | Primary |
| Provider Name | Amy E Monicatti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043254014 PECOS PAC ID: 4880651355 Enrollment ID: I20041216000134 |
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