| Ambersource, Pllc | |
|
60 Division St Ste B Manistee MI 49660-2720 | |
| (989) 529-3964 | |
| (231) 723-5879 |
| Full Name | Ambersource, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 60 Division St Ste B, Manistee, Michigan |
| Authorized Official Name and Position | Laura Jane C. Murphy (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 9895293964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambersource, Pllc 60 Division St Ste B Manistee MI 49660-2720 Ph: (989) 529-3964 | Ambersource, Pllc 60 Division St Ste B Manistee MI 49660-2720 Ph: (989) 529-3964 |
| NPI Number | 1588017461 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 07/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588017461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301014966 (Michigan) | Primary |
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