| Primary Care Psychology Pllc | |
|
4625 Beckley Rd Suite 300 Battle Creek MI 49015-7948 | |
| (269) 375-6079 | |
| (269) 375-6078 |
| Full Name | Primary Care Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4625 Beckley Rd, Battle Creek, Michigan |
| Authorized Official Name and Position | David Smith (OWNER) |
| Authorized Official Contact | 2693756079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Psychology Pllc 4625 Beckley Rd Suite 300 Battle Creek MI 49015-7948 Ph: (269) 375-6079 | Primary Care Psychology Pllc 4625 Beckley Rd Suite 300 Battle Creek MI 49015-7948 Ph: (269) 375-6079 |
| NPI Number | 1609105469 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 12/08/2009 |
| Medicare PECOS PAC ID | 8729120175 |
|---|---|
| Medicare Enrollment ID | O20100122000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609105469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | David Duane Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184765943 PECOS PAC ID: 2567504905 Enrollment ID: I20100122000267 |
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