| Inpsychful Wellness Llc | |
|
595 Forest Ave Ste 11a Plymouth MI 48170-1777 | |
| (734) 386-0252 | |
| Not Available |
| Full Name | Inpsychful Wellness Llc |
|---|---|
| Speciality | Psychologist |
| Location | 595 Forest Ave Ste 11a, Plymouth, Michigan |
| Authorized Official Name and Position | Dima Swaidan (OWNER) |
| Authorized Official Contact | 7343860252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inpsychful Wellness Llc 47526 Clipper St Unit 702094 Plymouth MI 48170-7118 Ph: (734) 386-0252 | Inpsychful Wellness Llc 595 Forest Ave Ste 11a Plymouth MI 48170-1777 Ph: (734) 386-0252 |
| NPI Number | 1730885781 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 02/01/2023 |
| Certification Date | 01/20/2023 |
| Medicare PECOS PAC ID | 1355704768 |
|---|---|
| Medicare Enrollment ID | O20230901001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730885781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dima Swaidan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962051425 PECOS PAC ID: 7214391481 Enrollment ID: I20230907000985 |
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