| Madrid Psychological Associates | |
|
4467 Byron Center Ave Sw Wyoming MI 49519-4808 | |
| (616) 534-5445 | |
| (616) 534-5536 |
| Full Name | Madrid Psychological Associates |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4467 Byron Center Ave Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Raul P. Madrid (CHIEF ASSOCIATE/PRESIDENT) |
| Authorized Official Contact | 6165345445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madrid Psychological Associates 4467 Byron Center Ave Sw Wyoming MI 49519-4808 Ph: (616) 534-5445 | Madrid Psychological Associates 4467 Byron Center Ave Sw Wyoming MI 49519-4808 Ph: (616) 534-5445 |
| NPI Number | 1770753899 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770753899 | NPI | - | NPPES |
| 0D14683 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 6301007493 (Michigan) | Primary |
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