| Cadillac Psychological Services, Pllc | |
|
121 N Mitchell St Cadillac MI 49601-1879 | |
| (231) 884-0043 | |
| Not Available |
| Full Name | Cadillac Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 121 N Mitchell St, Cadillac, Michigan |
| Authorized Official Name and Position | Steven L Osborn (OWNER) |
| Authorized Official Contact | 2318840043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cadillac Psychological Services, Pllc 121 N Mitchell St Cadillac MI 49601-1879 Ph: (231) 884-0043 | Cadillac Psychological Services, Pllc 121 N Mitchell St Cadillac MI 49601-1879 Ph: (231) 884-0043 |
| NPI Number | 1932802972 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 4981049343 |
|---|---|
| Medicare Enrollment ID | O20240226002864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932802972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Steven L Osborn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588639546 PECOS PAC ID: 0648445858 Enrollment ID: I20111215000772 |
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