| Pathway Psychological Services Pllc | |
|
22750 Woodward Ave Ste 211 Ferndale MI 48220-1753 | |
| (810) 333-1386 | |
| Not Available |
| Full Name | Pathway Psychological Services Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 22750 Woodward Ave Ste 211, Ferndale, Michigan |
| Authorized Official Name and Position | Brian D Wummel (OWNER AND COUNSELOR) |
| Authorized Official Contact | 8103331386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Psychological Services Pllc 1683 Riverside Dr Apt 2 Rochester Hills MI 48309-2708 Ph: (810) 333-1386 | Pathway Psychological Services Pllc 22750 Woodward Ave Ste 211 Ferndale MI 48220-1753 Ph: (810) 333-1386 |
| NPI Number | 1629639190 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 06/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629639190 | NPI | - | NPPES |
| 1811291818 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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