| Midwest Michigan Psychological Associates, Pllc | |
|
811 Sunnyside Dr Suite I Cadillac MI 49601-7002 | |
| (231) 878-3059 | |
| (866) 217-1182 |
| Full Name | Midwest Michigan Psychological Associates, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 811 Sunnyside Dr, Cadillac, Michigan |
| Authorized Official Name and Position | Craig Allen Derror (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2318783059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Michigan Psychological Associates, Pllc 811 Sunnyside Dr Suite I Cadillac MI 49601-7002 Ph: (231) 878-3059 | Midwest Michigan Psychological Associates, Pllc 811 Sunnyside Dr Suite I Cadillac MI 49601-7002 Ph: (231) 878-3059 |
| NPI Number | 1033318340 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033318340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401004326 (Michigan) | Secondary |
| 103T00000X | Psychologist | 6301013463 (Michigan) | Primary |
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