Nicholas Hakeos, LLP | |
16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | |
(586) 263-8700 | |
Not Available |
Full Name | Nicholas Hakeos |
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Gender | Male |
Speciality | Psychologist |
Location | 16200 19 Mile Rd, Clinton Twp, 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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1447562046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 6301014030 (Michigan) | Primary |
Entity Name | Mini Mitten Pediatric Therapy, Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1528655826 PECOS PAC ID: 7113334996 Enrollment ID: O20210323000530 |
Mailing Address | Practice Location Address |
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Nicholas Hakeos, LLP 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 Ph: (586) 263-8700 | Nicholas Hakeos, LLP 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 Ph: (586) 263-8700 |
Ellen Mayfield-fleming, MALLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 42669 Garfield Rd, Clinton Twp, MI 48038 Phone: 586-412-5321 | |
Marianne Urban, MALLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43411 Garfield Rd Ste A, Clinton Twp, MI 48038 Phone: 586-263-2760 Fax: 586-263-2762 | |
Isabella Celeste Deladurantaye, MS/PSYS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15600 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-8700 | |
Mary M Pruneau, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43411 Garfield Rd Ste A, Clinton Twp, MI 48038 Phone: 586-263-2760 Fax: 586-263-2762 | |
Alisa Marie Hilewsky, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 15945 Canal Rd, Clinton Twp, MI 48038 Phone: 586-416-2300 | |
Mrs. Nicole Laurain, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15420 19 Mile Rd Ste 100, Clinton Twp, MI 48038 Phone: 586-226-7007 |