| Waldron Neurorehabilitation Psychology, Pllc | |
|
42865 Five Mile Rd Plymouth MI 48170-2542 | |
| (248) 238-8214 | |
| (248) 715-6728 |
| Full Name | Waldron Neurorehabilitation Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 42865 Five Mile Rd, Plymouth, Michigan |
| Authorized Official Name and Position | Brigid R Waldron-perrine (OWNER) |
| Authorized Official Contact | 2482388214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waldron Neurorehabilitation Psychology, Pllc 42865 Five Mile Rd Plymouth MI 48170-2542 Ph: (248) 238-8214 | Waldron Neurorehabilitation Psychology, Pllc 42865 Five Mile Rd Plymouth MI 48170-2542 Ph: (248) 238-8214 |
| NPI Number | 1477388809 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/21/2025 |
| Certification Date | 09/21/2025 |
| Medicare PECOS PAC ID | 3375075039 |
|---|---|
| Medicare Enrollment ID | O20241018001971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477388809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brigid Waldron-perrine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891041075 PECOS PAC ID: 1052561305 Enrollment ID: I20121022000491 |
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