| Peyton & Davenport, Inc | |
|
4388 Sedum Gln Waterford MI 48328-1151 | |
| (248) 568-4524 | |
| (248) 673-3138 |
| Full Name | Peyton & Davenport, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 4388 Sedum Gln, Waterford, Michigan |
| Authorized Official Name and Position | Lyn Peyton (PRESIDENT) |
| Authorized Official Contact | 2485684524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peyton & Davenport, Inc 4388 Sedum Gln Waterford MI 48328-1151 Ph: (248) 568-4524 | Peyton & Davenport, Inc 4388 Sedum Gln Waterford MI 48328-1151 Ph: (248) 568-4524 |
| NPI Number | 1518291806 |
|---|---|
| Provider Enumeration Date | 09/20/2009 |
| Last Update Date | 09/20/2009 |
| Medicare PECOS PAC ID | 0648312421 |
|---|---|
| Medicare Enrollment ID | O20100115000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518291806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sharon R Nassau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861682577 PECOS PAC ID: 0244389435 Enrollment ID: I20090518000582 |
| Provider Name | Lyn Peyton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972644607 PECOS PAC ID: 0547302325 Enrollment ID: I20140502000942 |
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