| Nancy Rietdorf Phd Pllc | |
|
2837 Stable Dr Suite B Kimball MI 48074-1441 | |
| (810) 985-8000 | |
| (810) 985-8044 |
| Full Name | Nancy Rietdorf Phd Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2837 Stable Dr, Kimball, Michigan |
| Authorized Official Name and Position | Nancy A Rietdorf (PRESIDENT) |
| Authorized Official Contact | 8109858000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Rietdorf Phd Pllc 2837 Stable Dr Suite B Kimball MI 48074-1441 Ph: (810) 985-8000 | Nancy Rietdorf Phd Pllc 2837 Stable Dr Suite B Kimball MI 48074-1441 Ph: (810) 985-8000 |
| NPI Number | 1245383736 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 11/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245383736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301004023 (Michigan) | Primary |
Blue Lake Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2079 Edward Ln E, Kimball, MI 48074 Phone: 810-666-5033 |