| |
13725 Starr Commonwealth Albion MI 49224-9580 | |
(517) 629-5591 | |
(517) 630-2572 |
Full Name | |
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Speciality | Psychologist |
Location | 13725 Starr Commonwealth, Albion, Michigan |
Authorized Official Name and Position | Elizabeth A Carey (PRESIDENT & CEO) |
Authorized Official Contact | 5176295591 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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13725 Starr Commonwealth Albion MI 49224-9580 Ph: (517) 629-5591 | 13725 Starr Commonwealth Albion MI 49224-9580 Ph: (517) 629-5591 |
NPI Number | 1588706915 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 03/21/2019 |
Medicare PECOS PAC ID | 3971720442 |
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Medicare Enrollment ID | O20140806001219 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588706915 | NPI | - | NPPES |
MI7838 | Other | MI | PTAN |
1588706915 | Medicaid | MI |
Provider Name | Caelan Kate Soma |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447428602 PECOS PAC ID: 9436229309 Enrollment ID: I20080604000123 |
Provider Name | Alexandra Isaacs |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1124548425 PECOS PAC ID: 7012300023 Enrollment ID: I20220215000245 |
Provider Name | Summer Washington |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1407418569 PECOS PAC ID: 0042752586 Enrollment ID: I20240612000102 |
Provider Name | Tamara Lynn Dogan-laupp |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992156921 PECOS PAC ID: 8628515996 Enrollment ID: I20240805000811 |
Provider Name | Lindsey M Tregenza |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578124392 PECOS PAC ID: 1456891555 Enrollment ID: I20240904000779 |
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