| Marc J Silverstone Phd Pllc | |
|
6149 N Wayne Rd Westland MI 48185-7128 | |
| (734) 728-4747 | |
| (734) 729-2626 |
| Full Name | Marc J Silverstone Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 6149 N Wayne Rd, Westland, Michigan |
| Authorized Official Name and Position | Marc J Silverstone (CEO) |
| Authorized Official Contact | 7347284747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc J Silverstone Phd Pllc 6149 N Wayne Rd Westland MI 48185-7128 Ph: (734) 728-4747 | Marc J Silverstone Phd Pllc 6149 N Wayne Rd Westland MI 48185-7128 Ph: (734) 728-4747 |
| NPI Number | 1396949772 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 09/29/2009 |
| Medicare PECOS PAC ID | 8921178641 |
|---|---|
| Medicare Enrollment ID | O20091104000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396949772 | NPI | - | NPPES |
| 680H228010 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | MS063878 (Michigan) | Primary |
| Provider Name | Marc J Silverstone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023059789 PECOS PAC ID: 8426067463 Enrollment ID: I20060428000145 |
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