Dr Paolo Todesco, PHD, LP is a
Psychologist based in Groose Pointe Woods, Michigan. Dr Paolo Todesco is licensed to practice in Michigan (license number 6301014167) and his current practice location is
19892 W. Doyle Pl., Groose Pointe Woods, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 409-5034.
NPI number for Dr Paolo Todesco is 1114352606 and his current mailing address is 19892 W. Doyle Pl., Groose Pointe Woods, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114352606.
Healthcare Provider's Profile
| Full Name | Dr Paolo Todesco |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 19892 W. Doyle Pl., Groose Pointe Woods, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114352606
- Provider Enumeration Date: 09/04/2013
- Last Update Date: 09/04/2013
Medical Identifiers
Medical identifiers for Dr Paolo Todesco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114352606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 6301014167 (Michigan) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 6301014167 (Michigan) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301014167 (Michigan) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 6301014167 (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paolo Todesco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Paolo Todesco, PHD, LP
19892 W. Doyle Pl.,
Groose Pointe Woods, MI 48236
Ph: (313) 409-5034 | Dr Paolo Todesco, PHD, LP
19892 W. Doyle Pl.,
Groose Pointe Woods, MI 48236
Ph: (313) 409-5034 |
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