Dianne Hartman Pllc | |
40525 Koppernick Rd Canton MI 48187-4281 | |
(248) 910-9330 | |
Not Available |
Full Name | Dianne Hartman Pllc |
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Speciality | Social Worker |
Location | 40525 Koppernick Rd, Canton, Michigan |
Authorized Official Name and Position | Dianne B Hartman (PSYCHOTHERAPIST) |
Authorized Official Contact | 2489109330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dianne Hartman Pllc 41304 Lehigh Ln Northville MI 48167-1927 Ph: (248) 229-3884 | Dianne Hartman Pllc 40525 Koppernick Rd Canton MI 48187-4281 Ph: (248) 910-9330 |
NPI Number | 1437630050 |
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Provider Enumeration Date | 08/22/2018 |
Last Update Date | 08/22/2018 |
Medicare PECOS PAC ID | 4284985987 |
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Medicare Enrollment ID | O20180919001711 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437630050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801062132 (Michigan) | Primary |
Provider Name | Dianne B Hartman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205929536 PECOS PAC ID: 3072585892 Enrollment ID: I20040811000590 |
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