Unknown Individual – Psychologist, NPI 1093868093
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
547, Barrington Road, Grosse Pointe Park, Wayne County, Michigan, 48230, United States
GROSSE POINTE PARK, MI 482301721
Phone: (313) 213-6377
Fax: (313) 821-8392
Type: Mailing
20816, East 11 Mile Road, Saint Clair Shores, Macomb County, Michigan, 48081, United States
SUITE 108
SAINT CLAIR SHORES, MI 480811565
Phone: (313) 213-6377
Fax: (313) 821-8392
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48230)
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