| Oakland Psychological Clinic, P.c. | |
|
1455 S Lapeer Rd Ste 175n Lake Orion MI 48360 | |
| (248) 393-5555 | |
| (248) 393-1791 |
| Full Name | Oakland Psychological Clinic, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 1455 S Lapeer Rd Ste 175n, Lake Orion, Michigan |
| Authorized Official Name and Position | Elliott Richelson (PRESIDENT, TREASURER, SECRETARY) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Psychological Clinic, P.c. Po Box 7008 Bloomfield Hills MI 48302-7008 Ph: (248) 322-0003 | Oakland Psychological Clinic, P.c. 1455 S Lapeer Rd Ste 175n Lake Orion MI 48360 Ph: (248) 393-5555 |
| NPI Number | 1598952129 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Medicare PECOS PAC ID | 2163315086 |
|---|---|
| Medicare Enrollment ID | O20040330001477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598952129 | NPI | - | NPPES |
| Provider Name | Shuja Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427167378 PECOS PAC ID: 9335039817 Enrollment ID: I20040318000230 |
| Provider Name | Nancy H Wrobel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255427282 PECOS PAC ID: 7911990155 Enrollment ID: I20040405001222 |
| Provider Name | Dion P Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386702272 PECOS PAC ID: 2769705979 Enrollment ID: I20141219000569 |
| Provider Name | Kyle Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376639500 PECOS PAC ID: 4789032004 Enrollment ID: I20231128000882 |
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