Dr Douglas Moorhead, PSYD | |
17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | |
(616) 296-2130 | |
Not Available |
Full Name | Dr Douglas Moorhead |
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Gender | Male |
Speciality | Psychologist |
Location | 17224 Van Wagoner Rd, Spring Lake, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396283826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 6301012346 (Michigan) | Primary |
Entity Name | Kristine Koetje Ma, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316010770 PECOS PAC ID: 3375701873 Enrollment ID: O20120229000489 |
Mailing Address | Practice Location Address |
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Dr Douglas Moorhead, PSYD 2504 Hathaway Ct, Norton Shores, MI 49441-4435 Ph: (231) 329-4597 | Dr Douglas Moorhead, PSYD 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (616) 296-2130 |
Susan Brenner, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 622 E Savidge St, Spring Lake, MI 49456 Phone: 616-607-9187 | |
Amanda Ludlow, LPC Psychologist Medicare: Medicare Enrolled Practice Location: 17325 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-847-5145 | |
Mark B Mahacek, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 19100 N Fruitport Rd, Spring Lake, MI 49456 Phone: 616-842-2125 | |
Jordan Charles Engelhard, DLLP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 17325 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-847-5145 | |
Dawn M Carlen, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-510-9229 | |
Joseph J Auffrey, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 19100 N Fruitport Rd, Spring Lake, MI 49456 Phone: 616-842-2125 Fax: 616-842-2563 |