| Michael Butkus Phd Lp Pllc | |
|
43200 Dequindre Rd Ste 104 Sterling Hts MI 48314-1707 | |
| (586) 799-4350 | |
| (586) 799-4279 |
| Full Name | Michael Butkus Phd Lp Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 43200 Dequindre Rd Ste 104, Sterling Hts, Michigan |
| Authorized Official Name and Position | Michael Butkus (OWNER) |
| Authorized Official Contact | 5862196363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Butkus Phd Lp Pllc 43200 Dequindre Rd Ste 104 Sterling Hts MI 48314-1707 Ph: (586) 799-4350 | Michael Butkus Phd Lp Pllc 43200 Dequindre Rd Ste 104 Sterling Hts MI 48314-1707 Ph: (586) 799-4350 |
| NPI Number | 1013460435 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Medicare PECOS PAC ID | 1355636648 |
|---|---|
| Medicare Enrollment ID | O20160825001779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013460435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301002043 (Michigan) | Primary |
| Provider Name | Michael Butkus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649262296 PECOS PAC ID: 9830100668 Enrollment ID: I20060509000108 |
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