Maren Elizabeth Hyde-nolan, PHD | |
2799 W Grand Blvd, Detroit, MI 48202 | |
(313) 916-2600 | |
Not Available |
Full Name | Maren Elizabeth Hyde-nolan |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 14 Years |
Location | 2799 W Grand Blvd, Detroit, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164806832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301016111 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Medical Group | 0547178311 | 2124 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114001468 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000517 |
Mailing Address | Practice Location Address |
---|---|
Maren Elizabeth Hyde-nolan, PHD 3987 Cornerstone Dr, Canton, MI 48188-7911 Ph: (248) 798-4281 | Maren Elizabeth Hyde-nolan, PHD 2799 W Grand Blvd, Detroit, MI 48202 Ph: (313) 916-2600 |
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