| Temple Behavioral Health, P.c. | |
|
26677 W 12 Mile Rd Southfield MI 48034-1514 | |
| (248) 871-7457 | |
| (248) 864-2282 |
| Full Name | Temple Behavioral Health, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 26677 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Aja C. Temple (PRESIDENT) |
| Authorized Official Contact | 2488717457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Behavioral Health, P.c. 26677 W 12 Mile Rd Southfield MI 48034-1514 Ph: (248) 871-7457 | Temple Behavioral Health, P.c. 26677 W 12 Mile Rd Southfield MI 48034-1514 Ph: (248) 871-7457 |
| NPI Number | 1356725048 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Medicare PECOS PAC ID | 3971807694 |
|---|---|
| Medicare Enrollment ID | O20160201001107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356725048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301015829 (Michigan) | Primary |
| Provider Name | Aja C Temple |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760805766 PECOS PAC ID: 8022327154 Enrollment ID: I20160201001340 |
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