Dr Daniel Wall, PHD, LP | |
4000 W Walton Blvd Ste B, Waterford, MI 48329-4191 | |
(248) 461-6266 | |
(248) 791-7905 |
Full Name | Dr Daniel Wall |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 13 Years |
Location | 4000 W Walton Blvd Ste B, Waterford, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184901969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301014904 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifelens Psychological And Counseling Services | 0143544320 | 3 |
Entity Name | Lifelens Psychological And Counseling Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083015499 PECOS PAC ID: 0143544320 Enrollment ID: O20150116000583 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Wall, PHD, LP 4000 W Walton Blvd Ste B, Waterford, MI 48329-4191 Ph: (248) 881-6698 | Dr Daniel Wall, PHD, LP 4000 W Walton Blvd Ste B, Waterford, MI 48329-4191 Ph: (248) 461-6266 |
Mr. Anthony Michael Raymond, MS LLP CAAC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4950 Highland Rd, Waterford, MI 48328 Phone: 248-674-3382 Fax: 248-674-0083 | |
Mr. Robert Ryan Flewelling, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 247 Holmur Dr, Waterford, MI 48327 Phone: 248-804-1900 | |
Mrs. Michelle Sanborn, M.S., TLLP, CAC-M Psychologist Medicare: Not Enrolled in Medicare Practice Location: 709 Cedarlawn Rd, Waterford, MI 48328 Phone: 248-425-4166 | |
Mrs. Katherine Lulgjuraj, BS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 329 Beverly Estates Dr, Waterford, MI 48328 Phone: 248-773-1326 Fax: 313-893-0064 | |
Catherine L. Herzog, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1370 N Oakland, Suite 100a, Waterford, MI 48327 Phone: 248-886-1371 Fax: 248-886-1372 | |
Rhonda Myers, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5619 Highland Rd, Waterford, MI 48327 Phone: 248-828-6260 |