| Judith M. Paskiewicz, Ph.d., P.c. | |
|
600 N Old Woodward Ave Birmingham MI 48009-1324 | |
| (248) 642-3337 | |
| Not Available |
| Full Name | Judith M. Paskiewicz, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 600 N Old Woodward Ave, Birmingham, Michigan |
| Authorized Official Name and Position | Judith Marie Paskiewicz (PRESIDENT) |
| Authorized Official Contact | 2486423337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith M. Paskiewicz, Ph.d., P.c. 600 N Old Woodward Ave Birmingham MI 48009-1324 Ph: (248) 642-3337 | Judith M. Paskiewicz, Ph.d., P.c. 600 N Old Woodward Ave Birmingham MI 48009-1324 Ph: (248) 642-3337 |
| NPI Number | 1003040585 |
|---|---|
| Provider Enumeration Date | 05/12/2009 |
| Last Update Date | 05/12/2009 |
| Medicare PECOS PAC ID | 8527113497 |
|---|---|
| Medicare Enrollment ID | O20090827000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003040585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301008361 (Michigan) | Primary |
| Provider Name | Judith M Paskiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922165265 PECOS PAC ID: 8628123593 Enrollment ID: I20090827000689 |
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