| Resources For Development Pc | |
|
905 S Center St Royal Oak MI 48067-3230 | |
| (248) 546-3304 | |
| (248) 546-3305 |
| Full Name | Resources For Development Pc |
|---|---|
| Speciality | Psychologist |
| Location | 905 S Center St, Royal Oak, Michigan |
| Authorized Official Name and Position | Margaret Stack (PRESIDENT) |
| Authorized Official Contact | 2485463304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resources For Development Pc 905 S Center St Royal Oak MI 48067-3230 Ph: (248) 546-3304 | Resources For Development Pc 905 S Center St Royal Oak MI 48067-3230 Ph: (248) 546-3304 |
| NPI Number | 1497048425 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Medicare PECOS PAC ID | 1951570050 |
|---|---|
| Medicare Enrollment ID | O20110805000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497048425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301005353 (Michigan) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Margaret A Stack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447429261 PECOS PAC ID: 0749332161 Enrollment ID: I20090716000206 |
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