| Bloomfield Counseling,p.c. | |
|
5600 W Maple Rd Suite B-208 West Bloomfield MI 48322-3704 | |
| (248) 851-7181 | |
| (248) 851-1223 |
| Full Name | Bloomfield Counseling,p.c. |
|---|---|
| Speciality | Psychologist |
| Location | 5600 W Maple Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | James Howard Eisenshtadt (PRESIDENT) |
| Authorized Official Contact | 2488517181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomfield Counseling,p.c. 5600 W Maple Rd Ste B208 West Bloomfield MI 48322-3707 Ph: (248) 851-7181 | Bloomfield Counseling,p.c. 5600 W Maple Rd Suite B-208 West Bloomfield MI 48322-3704 Ph: (248) 851-7181 |
| NPI Number | 1063780146 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Medicare PECOS PAC ID | 4981865813 |
|---|---|
| Medicare Enrollment ID | O20120419000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063780146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301003797 (Michigan) | Primary |
| Provider Name | James H Eisenshtadt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851328488 PECOS PAC ID: 5698936524 Enrollment ID: I20120419000517 |
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