Marta Desoto, PHD | |
39465 W 14 Mile Rd, Novi, MI 48377-1600 | |
(248) 859-3900 | |
(888) 483-0118 |
Full Name | Marta Desoto |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 39465 W 14 Mile Rd, Novi, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598983686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 3776 (Arizona) | Primary |
Entity Name | Dw Raising Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770358228 PECOS PAC ID: 1951750132 Enrollment ID: O20240131001325 |
Mailing Address | Practice Location Address |
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Marta Desoto, PHD 39465 W 14 Mile Rd, Novi, MI 48377-1600 Ph: (248) 859-3900 | Marta Desoto, PHD 39465 W 14 Mile Rd, Novi, MI 48377-1600 Ph: (248) 859-3900 |
Elizabeth Marie Jackson, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43155 Main St, Atrium 2300 Suite I, Novi, MI 48375 Phone: 734-656-8191 | |
David Peradotto, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43450 W 10 Mile Rd, Novi, MI 48375 Phone: 248-344-7420 Fax: 248-344-7423 | |
Kinneta Easter Mason, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 41825 Borchart Dr, Novi, MI 48375 Phone: 313-919-1801 | |
Meredith Merlanti, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23985 Novi Rd, Suite B-104, Novi, MI 48375 Phone: 248-912-0080 | |
Lawrence Joseph Collins, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26850 Providence Pkwy, Suite 410, Novi, MI 48374 Phone: 248-465-4335 Fax: 248-465-4535 | |
Lauren Radtke- Rounds, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21149 Dundee Dr, Novi, MI 48375 Phone: 248-962-5064 | |
Dr. Howard E Moore, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 28175 Haggerty Rd, Novi, MI 48377 Phone: 248-994-1154 |