| Wise Mind Pllc | |
|
127 N Washington St Ypsilanti MI 48197-2619 | |
| (734) 682-5544 | |
| Not Available |
| Full Name | Wise Mind Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 127 N Washington St, Ypsilanti, Michigan |
| Authorized Official Name and Position | Antoinette Crocilla (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5174990991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Mind Pllc 127 N Washington St Ypsilanti MI 48197-2619 Ph: (734) 682-5544 | Wise Mind Pllc 127 N Washington St Ypsilanti MI 48197-2619 Ph: (734) 682-5544 |
| NPI Number | 1982147302 |
|---|---|
| Provider Enumeration Date | 12/02/2016 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982147302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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