| Spire 9 Llc | |
|
14799 Dix Toledo Rd Southfield MI 48033-2507 | |
| (810) 691-4816 | |
| Not Available |
| Full Name | Spire 9 Llc |
|---|---|
| Speciality | Psychologist |
| Location | 14799 Dix Toledo Rd, Southfield, Michigan |
| Authorized Official Name and Position | Pagi Legrow (SOLE MEMBER) |
| Authorized Official Contact | 8106914816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spire 9 Llc 12023 Riverbend Dr Grand Blanc MI 48439 Ph: (810) 691-4816 | Spire 9 Llc 14799 Dix Toledo Rd Southfield MI 48033-2507 Ph: (810) 691-4816 |
| NPI Number | 1821587437 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 06/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821587437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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