| Rivers Edge Psychological Services Pc | |
|
12240 Oelke Rd Maybee MI 48159-9779 | |
| (734) 642-8803 | |
| Not Available |
| Full Name | Rivers Edge Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 12240 Oelke Rd, Maybee, Michigan |
| Authorized Official Name and Position | Stefanie Gill Scalcucci (PSYCHOLOGIST) |
| Authorized Official Contact | 7346428803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivers Edge Psychological Services Pc 717 N Macomb St Monroe MI 48162-2929 Ph: (734) 258-3518 | Rivers Edge Psychological Services Pc 12240 Oelke Rd Maybee MI 48159-9779 Ph: (734) 642-8803 |
| NPI Number | 1669065421 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 12/08/2021 |
| Certification Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669065421 | NPI | - | NPPES |
| VS0190006 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |