Psychopharmacology Associates Pc | |
30095 Northwestern Hwy Suite 20a Farmington Hills MI 48334 | |
(248) 539-0200 | |
(248) 539-0987 |
Full Name | Psychopharmacology Associates Pc |
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Speciality | Psychologist |
Location | 30095 Northwestern Hwy Suite 20a, Farmington Hills, Michigan |
Authorized Official Name and Position | Alan H Rosenbaum (PRESIDENT) |
Authorized Official Contact | 2485390200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychopharmacology Associates Pc 30095 Northwestern Hwy Suite 20a Farmington Hills MI 48334 Ph: (248) 539-0200 | Psychopharmacology Associates Pc 30095 Northwestern Hwy Suite 20a Farmington Hills MI 48334 Ph: (248) 539-0200 |
NPI Number | 1609082999 |
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Provider Enumeration Date | 05/15/2007 |
Last Update Date | 07/30/2015 |
Medicare PECOS PAC ID | 6507849387 |
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Medicare Enrollment ID | O20230320000828 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609082999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
Provider Name | Alan H Rosenbaum |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629042528 PECOS PAC ID: 4486637279 Enrollment ID: I20050317000620 |
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