| Therasupport, Llc | |
|
4343 Concourse Dr. Suite 250 Ann Arbor MI 48108-8672 | |
| (734) 677-0200 | |
| (734) 677-3310 |
| Full Name | Therasupport, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4343 Concourse Dr., Ann Arbor, Michigan |
| Authorized Official Name and Position | Christy L Delph (OFFICE MANAGER) |
| Authorized Official Contact | 7346770200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therasupport, Llc 4343 Concourse Dr. Suite 250 Ann Arbor MI 48108-8672 Ph: (734) 677-0200 | Therasupport, Llc 4343 Concourse Dr. Suite 250 Ann Arbor MI 48108-8672 Ph: (734) 677-0200 |
| NPI Number | 1295129799 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 0143501221 |
|---|---|
| Medicare Enrollment ID | O20170104000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295129799 | NPI | - | NPPES |
| Provider Name | Thomas S Rosenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518013986 PECOS PAC ID: 9335183953 Enrollment ID: I20110623000214 |
| Provider Name | Jennifer Greca |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467846808 PECOS PAC ID: 8729361563 Enrollment ID: I20170201002707 |
| Provider Name | Caroline Marie Shanks |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326516980 PECOS PAC ID: 8325410699 Enrollment ID: I20230214003234 |
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