| Regulating Resolutions | |
|
23400 Park St Dearborn MI 48124-2545 | |
| (313) 528-9146 | |
| (313) 558-8384 |
| Full Name | Regulating Resolutions |
|---|---|
| Speciality | Psychologist |
| Location | 23400 Park St, Dearborn, Michigan |
| Authorized Official Name and Position | Dianne Goetsch (MASTER'S LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3135289146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regulating Resolutions 3070 Lindenwood Dr Dearborn MI 48120-1312 Ph: (313) 528-9146 | Regulating Resolutions 23400 Park St Dearborn MI 48124-2545 Ph: (313) 528-9146 |
| NPI Number | 1750087425 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 8224490669 |
|---|---|
| Medicare Enrollment ID | O20230816002388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750087425 | NPI | - | NPPES |
| 12754218 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dianne Marie Goetsch |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1548690704 PECOS PAC ID: 1456579127 Enrollment ID: I20190626002393 |
| Provider Name | Carter Comrie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548634462 PECOS PAC ID: 4789017518 Enrollment ID: I20191209000682 |
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