| Peter Foster Fishman Psy D Pc | |
|
1046 Cresenwood Rd East Lansing MI 48823-4120 | |
| (517) 449-6245 | |
| Not Available |
| Full Name | Peter Foster Fishman Psy D Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1046 Cresenwood Rd, East Lansing, Michigan |
| Authorized Official Name and Position | Peter Foster-fishman (PSYCHOLOGIST) |
| Authorized Official Contact | 5174496245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Foster Fishman Psy D Pc 1046 Cresenwood Rd East Lansing MI 48823-4120 Ph: (517) 449-6245 | Peter Foster Fishman Psy D Pc 1046 Cresenwood Rd East Lansing MI 48823-4120 Ph: (517) 449-6245 |
| NPI Number | 1295275923 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 05/03/2024 |
| Medicare PECOS PAC ID | 0941583249 |
|---|---|
| Medicare Enrollment ID | O20170213000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295275923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6301009240 (Michigan) | Primary |
| Provider Name | Peter Russell Foster-fishman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609820877 PECOS PAC ID: 8527079763 Enrollment ID: I20060601000017 |
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