| Elizabeth A. Rose Phd, Psychological Services, P.c. | |
|
12765 S. Saginaw Street Suite 301 Grand Blanc MI 48439-2449 | |
| (810) 695-1900 | |
| (810) 695-1907 |
| Full Name | Elizabeth A. Rose Phd, Psychological Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 12765 S. Saginaw Street, Grand Blanc, Michigan |
| Authorized Official Name and Position | Elizabeth Ann Rose (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8109645901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A. Rose Phd, Psychological Services, P.c. 2015 Colchester Rd Flint MI 48503-4631 Ph: (810) 964-5901 | Elizabeth A. Rose Phd, Psychological Services, P.c. 12765 S. Saginaw Street Suite 301 Grand Blanc MI 48439-2449 Ph: (810) 695-1900 |
| NPI Number | 1760775944 |
|---|---|
| Provider Enumeration Date | 05/23/2011 |
| Last Update Date | 05/23/2011 |
| Medicare PECOS PAC ID | 0648424473 |
|---|---|
| Medicare Enrollment ID | O20130204000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760775944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301011940 (Michigan) | Primary |
| Provider Name | Kimberly Rhea Abraham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770695710 PECOS PAC ID: 4587793583 Enrollment ID: I20100601000687 |
| Provider Name | Elizabeth A Rose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538271754 PECOS PAC ID: 0648301499 Enrollment ID: I20100623000613 |
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