| Elaine M Swenson Ma Llp Pllc | |
|
31000 Lahser Rd Ste 8 Beverly Hills MI 48025-4847 | |
| (248) 723-6626 | |
| Not Available |
| Full Name | Elaine M Swenson Ma Llp Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 31000 Lahser Rd Ste 8, Beverly Hills, Michigan |
| Authorized Official Name and Position | Elaine Swenson (OWNER) |
| Authorized Official Contact | 2487236626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine M Swenson Ma Llp Pllc 31000 Lahser Rd Ste 8 Beverly Hills MI 48025-4847 Ph: (248) 723-6626 | Elaine M Swenson Ma Llp Pllc 31000 Lahser Rd Ste 8 Beverly Hills MI 48025-4847 Ph: (248) 723-6626 |
| NPI Number | 1477191559 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 12/19/2019 |
| Certification Date | 12/19/2019 |
| Medicare PECOS PAC ID | 3779917646 |
|---|---|
| Medicare Enrollment ID | O20191231001168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477191559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Elaine M Swenson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1124044037 PECOS PAC ID: 1355578626 Enrollment ID: I20131218001112 |
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