| Carol Diane Psaila | |
|
3830 Packard St Ste 250 Ann Arbor MI 48108-2273 | |
| (734) 358-3810 | |
| Not Available |
| Full Name | Carol Diane Psaila |
|---|---|
| Speciality | Social Worker |
| Location | 3830 Packard St Ste 250, Ann Arbor, Michigan |
| Authorized Official Name and Position | Carol D Psaila (LMSW) |
| Authorized Official Contact | 7343583810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Diane Psaila 7618 Bay Tree Dr Ypsilanti MI 48197-9572 Ph: (734) 358-3810 | Carol Diane Psaila 3830 Packard St Ste 250 Ann Arbor MI 48108-2273 Ph: (734) 358-3810 |
| NPI Number | 1144769050 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Medicare PECOS PAC ID | 8123302353 |
|---|---|
| Medicare Enrollment ID | O20170307000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144769050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801077434 (Michigan) | Primary |
| Provider Name | Carol D Psaila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356462360 PECOS PAC ID: 1658321815 Enrollment ID: I20050125000946 |
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