Kim Therese Pauwels, MA, LLP | |
8245 Holly Rd Ste 200, Grand Blanc, MI 48439-2483 | |
(800) 693-1916 | |
Not Available |
Full Name | Kim Therese Pauwels |
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Gender | Female |
Speciality | Psychologist |
Location | 8245 Holly Rd Ste 200, Grand Blanc, 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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1710214945 | NPI | - | NPPES |
Entity Name | Green Pastures Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205564978 PECOS PAC ID: 4284019241 Enrollment ID: O20220913000415 |
Mailing Address | Practice Location Address |
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Kim Therese Pauwels, MA, LLP 1108 Kurtz Rd, Holly, MI 48442-8314 Ph: (248) 790-7688 | Kim Therese Pauwels, MA, LLP 8245 Holly Rd Ste 200, Grand Blanc, MI 48439-2483 Ph: (800) 693-1916 |
Sara Christine Ward, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Parkway, Medical Education-psychology, Grand Blanc, MI 48439 Phone: 810-606-6954 | |
Thomas Martin Starzynski, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8203 S Saginaw St, Grand Blanc, MI 48439 Phone: 269-983-4751 | |
Marianne Goergen, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 8435 Holly Rd, Grand Blanc, MI 48439 Phone: 810-424-2400 Fax: 810-579-7222 | |
Patchawan Phunwutikorn, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5126 | |
Noel A. Dryden-minger, MS, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10785 S Saginaw St, Bldg. E, Suite A, Grand Blanc, MI 48439 Phone: 810-695-0055 Fax: 810-695-6813 | |
Samantha Schires, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000 | |
Myra F. Alliston, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8435 Holly Rd, Grand Blanc, MI 48439 Phone: 810-424-2400 Fax: 810-579-7222 |