Dr Jennifer Hanawalt, PHD | |
2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | |
(248) 646-6659 | |
(248) 642-8645 |
Full Name | Dr Jennifer Hanawalt |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 2075 W Big Beaver Rd, Troy, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386999472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301015459 (Michigan) | Primary |
Entity Name | Birmingham Maple Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558412551 PECOS PAC ID: 6800867755 Enrollment ID: O20040804000201 |
Mailing Address | Practice Location Address |
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Dr Jennifer Hanawalt, PHD 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 Ph: (248) 646-6659 | Dr Jennifer Hanawalt, PHD 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 Ph: (248) 646-6659 |
Ms. Paige S Vannorman, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1777 Axtell Dr Ste 100, Troy, MI 48084 Phone: 248-923-1536 | |
Ms. Kathleen Weeks Mielke, M.S.,M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6915 Rochester Rd Ste 460, Troy, MI 48085 Phone: 248-828-3030 Fax: 248-828-1010 | |
Janis Glotkowski, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1777 Axtell Dr, Suite 100, Troy, MI 48084 Phone: 248-613-5377 | |
Sonja Bastanin Djapic, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 888 W Big Beaver Rd, Troy, MI 48084 Phone: 248-244-8644 | |
Marianne Key-carniak, Psychologist Medicare: Medicare Enrolled Practice Location: 1700 W Big Beaver Rd Ste 200, Troy, MI 48084 Phone: 248-420-6742 | |
Neala Ann O'hara, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1777 Axtell Dr Ste 100, Troy, MI 48084 Phone: 248-613-5377 | |
Nicole Jackson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2075 W Big Beaver Rd Ste 520, Troy, MI 48084 Phone: 248-646-6659 |