| Bruce M Johnson, | |
|
32715 Dorsey St, Westland, MI 48186-4755 | |
| (734) 641-1141 | |
| Not Available |
| Full Name | Bruce M Johnson |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 32715 Dorsey St, Westland, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033743091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401223542 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wolf Psychological Services Pllc | 5799061057 | 3 |
| Entity Name | Wolf Psychological Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598203002 PECOS PAC ID: 5799061057 Enrollment ID: O20170421000544 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce M Johnson, 3075 E Grand River Ave Ste 108, Howell, MI 48843-6585 Ph: (248) 912-2359 | Bruce M Johnson, 32715 Dorsey St, Westland, MI 48186-4755 Ph: (734) 641-1141 |
Mrs. Amanda Nikolee Dennis-shareef, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7541 August Ave, Westland, MI 48185 Phone: 313-727-2200 |
Latanya Marie-elvira Emerson, Counselor Medicare: Accepting Medicare Assignments Practice Location: 8623 N Wayne Rd, Westland, MI 48185 Phone: 734-742-0191 |
Miss Lativia Smith, LMSW-C Counselor Medicare: Accepting Medicare Assignments Practice Location: 34290 Ford Rd, Westland, MI 48185 Phone: 313-717-1830 |
Karen Moore, MS CLINICAL PSYCHOLO Counselor Medicare: Medicare Enrolled Practice Location: 7699 W Woodbridge Cir, #201, Westland, MI 48185 Phone: 734-778-7954 |
Carol Marie Brossia, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 34290 Ford Rd, Westland, MI 48185 Phone: 888-813-8326 |
Ms. Jeannine Alise Tyree, MRC, CRC, LLPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 28303 Joy Rd, Westland, MI 48185 Phone: 734-513-1122 Fax: 734-421-1405 |
Chaunte' Roberts, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 34290 Ford Rd, Westland, MI 48185 Phone: 888-813-8326 |