Traci Wilson, MA LLP | |
350 North Main Street, Suite 150, Chelsea, MI 48118 | |
(734) 593-5251 | |
(734) 593-5255 |
Full Name | Traci Wilson |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 350 North Main Street, Chelsea, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750304291 | NPI | - | NPPES |
204862865 | Other | MI | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6361003300 (Michigan) | Primary |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Entity Name | Chelsea Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912947409 PECOS PAC ID: 0648171074 Enrollment ID: O20040119000004 |
Mailing Address | Practice Location Address |
---|---|
Traci Wilson, MA LLP 24 Frank Lloyd, Ste J2000, Ann Arbor, MI 48105 Ph: (734) 747-6766 | Traci Wilson, MA LLP 350 North Main Street, Suite 150, Chelsea, MI 48118 Ph: (734) 593-5251 |
Heidi Joy Joshi, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 14700 E Old Us Highway 12, Chelsea, MI 48118 Phone: 734-475-1321 | |
Ms. Lynne Weiner Spencer, RN, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 134 W Middle St Ste H, Chelsea, MI 48118 Phone: 734-719-0380 | |
Dr. Taylor Hicks-hoste, PH.D, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 N Main St, Ste. 220, Chelsea, MI 48118 Phone: 734-433-5100 | |
Riahanah Ali, M.S., TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 N Main St Ste 220, Chelsea, MI 48118 Phone: 734-433-5100 | |
Mrs. Amanda Marie Connon, LLP Psychologist Medicare: Medicare Enrolled Practice Location: 350 North Main Street, Ste 150, Chelsea, MI 48118 Phone: 734-593-5251 Fax: 734-593-5255 | |
Carrie E Batyik, LLP Psychologist Medicare: Medicare Enrolled Practice Location: 350 North Main Street, Ste 150, Chelsea, MI 48118 Phone: 734-593-5251 Fax: 734-593-5255 | |
Dr. Elizabeth Jane Hammer, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 521 S East St, Chelsea, MI 48118 Phone: 734-475-1828 Fax: 734-475-6307 |