| Bette Glickfield Phd Pllc | |
|
5600 West Maple Rd Ste D407 West Bloomfield MI 48322-3711 | |
| (248) 851-2262 | |
| Not Available |
| Full Name | Bette Glickfield Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 5600 West Maple Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Bette Glickfield (AUTHORIZED DELEGATE/ PSYCHOLOGIST) |
| Authorized Official Contact | 2485358547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bette Glickfield Phd Pllc 3160 Parkland Drive West Bloomfield MI 48322-1823 Ph: (248) 851-2622 | Bette Glickfield Phd Pllc 5600 West Maple Rd Ste D407 West Bloomfield MI 48322-3711 Ph: (248) 851-2262 |
| NPI Number | 1043338239 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Medicare PECOS PAC ID | 6204363179 |
|---|---|
| Medicare Enrollment ID | O20241217003259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043338239 | NPI | - | NPPES |
| OH81207 | Other | MI | BCBSM |
| 2080P0008X | Other | MI | BCBSM |
| 680F331790 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301005241 (Michigan) | Primary |
| Provider Name | Bette D Glickfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922079284 PECOS PAC ID: 4587610076 Enrollment ID: I20050328000975 |
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