| Suzanne Cleck Psyd Llc | |
|
28345 Beck Rd Suite 305 Wixom MI 48393-4733 | |
| (248) 421-1553 | |
| (855) 856-1414 |
| Full Name | Suzanne Cleck Psyd Llc |
|---|---|
| Speciality | Social Worker |
| Location | 28345 Beck Rd, Wixom, Michigan |
| Authorized Official Name and Position | Suzanne Cleck (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2484211553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Cleck Psyd Llc 28345 Beck Rd Suite 305 Wixom MI 48393-4733 Ph: (248) 421-1553 | Suzanne Cleck Psyd Llc 28345 Beck Rd Suite 305 Wixom MI 48393-4733 Ph: (248) 421-1553 |
| NPI Number | 1225496136 |
|---|---|
| Provider Enumeration Date | 02/05/2016 |
| Last Update Date | 02/05/2016 |
| Medicare PECOS PAC ID | 3577862663 |
|---|---|
| Medicare Enrollment ID | O20160425000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225496136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801085951 (Michigan) | Primary |
| Provider Name | Suzanne M Cleck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669606661 PECOS PAC ID: 6608913777 Enrollment ID: I20091021000668 |
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