| Okemos Psychological Services, Llc | |
|
2172 Commons Pkwy Ste C Okemos MI 48864-3986 | |
| (517) 819-5654 | |
| Not Available |
| Full Name | Okemos Psychological Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2172 Commons Pkwy Ste C, Okemos, Michigan |
| Authorized Official Name and Position | Debora Dantus (OWNER/MEMBER) |
| Authorized Official Contact | 5178195654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Okemos Psychological Services, Llc Po Box 2257 Chesterton IN 46304-0357 Ph: (219) 929-8320 | Okemos Psychological Services, Llc 2172 Commons Pkwy Ste C Okemos MI 48864-3986 Ph: (517) 819-5654 |
| NPI Number | 1376902031 |
|---|---|
| Provider Enumeration Date | 02/23/2016 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Medicare PECOS PAC ID | 5597055012 |
|---|---|
| Medicare Enrollment ID | O20160610001847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376902031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Debora Dantus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023305901 PECOS PAC ID: 4981914207 Enrollment ID: I20151117000076 |
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