| Professional Outreach Counseling Services Pc | |
|
34841 Veterans Plz Wayne MI 48184-1733 | |
| (313) 292-7640 | |
| (313) 292-9270 |
| Full Name | Professional Outreach Counseling Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 34841 Veterans Plz, Wayne, Michigan |
| Authorized Official Name and Position | Colin F. King (OWNER) |
| Authorized Official Contact | 3132927640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Outreach Counseling Services Pc 34841 Veterans Plz Wayne MI 48184-1733 Ph: (313) 292-7640 | Professional Outreach Counseling Services Pc 34841 Veterans Plz Wayne MI 48184-1733 Ph: (313) 292-7640 |
| NPI Number | 1295898385 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 06/16/2014 |
| Medicare PECOS PAC ID | 9234235771 |
|---|---|
| Medicare Enrollment ID | O20070430000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295898385 | NPI | - | NPPES |
| Provider Name | Olin Lepard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144340951 PECOS PAC ID: 4587699905 Enrollment ID: I20051017000351 |
| Provider Name | Colin F King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144344417 PECOS PAC ID: 1052417599 Enrollment ID: I20070509000130 |
| Provider Name | Lorna King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295923464 PECOS PAC ID: 4183711393 Enrollment ID: I20071106000125 |
| Provider Name | Anhkiet Le Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639425879 PECOS PAC ID: 7618128315 Enrollment ID: I20121106000091 |
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