| Rene M Nota, Phd Inc | |
|
16950 19 Mile Rd Clinton Township MI 48038-4804 | |
| (586) 588-3663 | |
| Not Available |
| Full Name | Rene M Nota, Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 16950 19 Mile Rd, Clinton Township, Michigan |
| Authorized Official Name and Position | Rene Nota (OWNER) |
| Authorized Official Contact | 5865883663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rene M Nota, Phd Inc 16950 19 Mile Rd Clinton Township MI 48038-4804 Ph: (586) 588-3663 | Rene M Nota, Phd Inc 16950 19 Mile Rd Clinton Township MI 48038-4804 Ph: (586) 588-3663 |
| NPI Number | 1427681212 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 06/16/2021 |
| Certification Date | 06/16/2021 |
| Medicare PECOS PAC ID | 3971932393 |
|---|---|
| Medicare Enrollment ID | O20200407001030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427681212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rene M Nota |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649652991 PECOS PAC ID: 9739495771 Enrollment ID: I20150904001549 |
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