Mrs Maria Kaniszewski, is a
Psychologist - Clinical Child & Adolescent based in Houghton Lake, Michigan. Mrs Maria Kaniszewski is licensed to practice in Michigan (license number L1815378) and her current practice location is
2715 S Townline Rd, Houghton Lake, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 366-1118.
NPI number for Mrs Maria Kaniszewski is 1740599216 and her current mailing address is 2715 S Townline Rd, Houghton Lake, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740599216.
Healthcare Provider's Profile
| Full Name | Mrs Maria Kaniszewski |
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| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 2715 S Townline Rd, Houghton Lake, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740599216
- Provider Enumeration Date: 10/01/2010
- Last Update Date: 10/01/2010
Medical Identifiers
Medical identifiers for Mrs Maria Kaniszewski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740599216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | L1764585 (Michigan) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | L1815378 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Maria Kaniszewski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Maria Kaniszewski, 2715 S Townline Rd, Houghton Lake, MI 48629-9294 Ph: () - | Mrs Maria Kaniszewski, 2715 S Townline Rd, Houghton Lake, MI 48629-9294 Ph: (989) 366-1118 |
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