Valued Living Psychological | |
2632 S 11th St Kalamazoo MI 49009-2106 | |
(269) 873-8002 | |
Not Available |
Full Name | Valued Living Psychological |
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Speciality | Psychologist |
Location | 2632 S 11th St, Kalamazoo, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valued Living Psychological Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Valued Living Psychological 2632 S 11th St Kalamazoo MI 49009-2106 Ph: (269) 873-8002 |
NPI Number | 1568858413 |
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Provider Enumeration Date | 04/07/2015 |
Last Update Date | 11/29/2023 |
Certification Date | 11/29/2023 |
Medicare PECOS PAC ID | 9638561632 |
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Medicare Enrollment ID | O20220125002820 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568858413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Susan C Baird |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1497899801 PECOS PAC ID: 0941391197 Enrollment ID: I20070802000390 |
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