Rene Nota | |
16950 19 Mile Rd Clinton Township MI 48038-4804 | |
(586) 588-3663 | |
Not Available |
Full Name | Rene Nota |
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Speciality | Psychologist |
Location | 16950 19 Mile Rd, Clinton Township, Michigan |
Authorized Official Name and Position | Rene Nota (OWNER) |
Authorized Official Contact | 5865883663 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rene Nota 16950 19 Mile Rd Clinton Township MI 48038-4804 Ph: (586) 588-3663 | Rene Nota 16950 19 Mile Rd Clinton Township MI 48038-4804 Ph: (586) 588-3663 |
NPI Number | 1427681212 |
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Provider Enumeration Date | 02/20/2020 |
Last Update Date | 06/16/2021 |
Certification Date | 06/16/2021 |
Medicare PECOS PAC ID | 3971932393 |
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Medicare Enrollment ID | O20200407001030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427681212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Rene M Nota |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1649652991 PECOS PAC ID: 9739495771 Enrollment ID: I20150904001549 |
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