| Ascension Crittenton Hospital | |
|
1101 W University Dr Rochester MI 48307-1863 | |
| (248) 652-5000 | |
| Not Available |
| Full Name | Ascension Crittenton Hospital |
|---|---|
| Speciality | Psychologist |
| Location | 1101 W University Dr, Rochester, Michigan |
| Authorized Official Name and Position | Kathy Stevens (BILLING COORDINATOR) |
| Authorized Official Contact | 2483271586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Crittenton Hospital 1101 W University Dr Rochester MI 48307-1863 Ph: (248) 652-5000 | Ascension Crittenton Hospital 1101 W University Dr Rochester MI 48307-1863 Ph: (248) 652-5000 |
| NPI Number | 1336262427 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336262427 | NPI | - | NPPES |
| 0F31148 | Other | MI | PROFESSIONAL PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 630070 (Michigan) | Primary |
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