| Psychology Group | |
|
15500 19 Mile Rd Ste 310 Clinton Twp MI 48038-6330 | |
| (586) 263-6812 | |
| Not Available |
| Full Name | Psychology Group |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 15500 19 Mile Rd, Clinton Twp, Michigan |
| Authorized Official Name and Position | Prameela Baddigam (OWNER) |
| Authorized Official Contact | 5862636812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Group 15500 19 Mile Rd Ste 310 Clinton Twp MI 48038-6330 Ph: (586) 263-6812 | Psychology Group 15500 19 Mile Rd Ste 310 Clinton Twp MI 48038-6330 Ph: (586) 263-6812 |
| NPI Number | 1033393442 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 12/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033393442 | NPI | - | NPPES |
| MC012228 | Other | MI | LIC |
| 4769047 | Medicaid | MI | |
| 4769056 | Medicaid | MI | |
| JT007751 | Other | MI | LIC |
| 0E02096 | Other | MI | BCBSM |
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