| Psychiatric And Psychological Specialties | |
|
415 Main St Ste A Saint Joseph MI 49085-3100 | |
| (269) 408-1688 | |
| (269) 408-1692 |
| Full Name | Psychiatric And Psychological Specialties |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 415 Main St Ste A, Saint Joseph, Michigan |
| Authorized Official Name and Position | Yojana Veeramasuneni (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2694081688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric And Psychological Specialties 415 Main St Ste A Saint Joseph MI 49085-3100 Ph: (269) 408-1688 | Psychiatric And Psychological Specialties 415 Main St Ste A Saint Joseph MI 49085-3100 Ph: (269) 408-1688 |
| NPI Number | 1548672728 |
|---|---|
| Provider Enumeration Date | 05/22/2014 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548672728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301015548 (Michigan) | Primary |
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