Shoshana Katz Phd Pllc | |
217 Knowles St Royal Oak MI 48067-2767 | |
(248) 470-0231 | |
Not Available |
Full Name | Shoshana Katz Phd Pllc |
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Speciality | Psychologist |
Location | 217 Knowles St, Royal Oak, Michigan |
Authorized Official Name and Position | Shoshana Katz (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2484700231 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shoshana Katz Phd Pllc 17000 Jeanette St Southfield MI 48075-7019 Ph: (248) 470-0231 | Shoshana Katz Phd Pllc 217 Knowles St Royal Oak MI 48067-2767 Ph: (248) 470-0231 |
NPI Number | 1336575802 |
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Provider Enumeration Date | 09/17/2013 |
Last Update Date | 09/17/2013 |
Medicare PECOS PAC ID | 0345470209 |
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Medicare Enrollment ID | O20140221000108 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336575802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301014093 (Michigan) | Primary |
Provider Name | Shoshana Katz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1558508044 PECOS PAC ID: 8224170972 Enrollment ID: I20140221000220 |
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