| Judith Roes Hammerle, Ph.d., Llc | |
|
1183 Glendale Ave Adrian MI 49221-1306 | |
| (517) 260-1762 | |
| (517) 265-2853 |
| Full Name | Judith Roes Hammerle, Ph.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1183 Glendale Ave, Adrian, Michigan |
| Authorized Official Name and Position | Judith Roes Hammerle (PSYCHOLOGIST) |
| Authorized Official Contact | 5172601762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Roes Hammerle, Ph.d., Llc 1183 Glendale Ave Adrian MI 49221-1306 Ph: (517) 260-1762 | Judith Roes Hammerle, Ph.d., Llc 1183 Glendale Ave Adrian MI 49221-1306 Ph: (517) 260-1762 |
| NPI Number | 1770714891 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 04/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770714891 | NPI | - | NPPES |
| D64517 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 03951 | Other | MI | PARAMOUNT HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301002085 (Michigan) | Primary |
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