Mr Thomas Edward Haefner, LLP | |
33101 Annapolis St, Wayne, MI 48184-2405 | |
(734) 721-0200 | |
(734) 721-1766 |
Full Name | Mr Thomas Edward Haefner |
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Gender | Male |
Speciality | Psychologist - Counseling |
Location | 33101 Annapolis St, Wayne, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104913177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 6301009928 (Michigan) | Primary |
Entity Name | Development Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326135047 PECOS PAC ID: 0547254443 Enrollment ID: O20040413001246 |
Mailing Address | Practice Location Address |
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Mr Thomas Edward Haefner, LLP 29814 Oakley St, Livonia, MI 48154-3736 Ph: (734) 762-6248 | Mr Thomas Edward Haefner, LLP 33101 Annapolis St, Wayne, MI 48184-2405 Ph: (734) 721-0200 |
Ms. Kristle R. White, M.A., TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35640 W Michigan Ave, Wayne, MI 48184 Phone: 734-729-7792 Fax: 734-729-7938 | |
Dave Wesley Bussell Ii, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34841 Veterans Plz, Wayne, MI 48184 Phone: 313-292-7640 Fax: 313-292-9270 | |
Mr. Austin Henry Kovar, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35640 W Michigan Ave, Wayne, MI 48184 Phone: 734-729-7792 | |
Colin F King, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 34841 Veterans Plz, Wayne, MI 48184 Phone: 313-292-7640 Fax: 313-292-9270 | |
Ms. Eugenia Ann Ward, MA LLP LMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 33101 Annapolis, Wayne, MI 48184 Phone: 313-961-3055 | |
Ms. Komal Akhter, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34815 W Michigan Ave Ste 1, Wayne, MI 48184 Phone: 248-871-7551 |