| Michelle Kane Psyd Pllc | |
|
7 Corporate Center Ct Ste B Greensboro NC 27408-3839 | |
| (336) 604-2789 | |
| (336) 282-3797 |
| Full Name | Michelle Kane Psyd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 7 Corporate Center Ct Ste B, Greensboro, North Carolina |
| Authorized Official Name and Position | Michelle Kane (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3366042789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Kane Psyd Pllc 7 Corporate Center Ct Ste B Greensboro NC 27408-3839 Ph: (336) 604-2789 | Michelle Kane Psyd Pllc 7 Corporate Center Ct Ste B Greensboro NC 27408-3839 Ph: (336) 604-2789 |
| NPI Number | 1962160044 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Medicare PECOS PAC ID | 2567855109 |
|---|---|
| Medicare Enrollment ID | O20220203001393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962160044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michelle E Kane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437197134 PECOS PAC ID: 3971496647 Enrollment ID: I20040205000948 |
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