| Dr Devin R South, PSYD, LP | |
|
1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | |
| (810) 985-5125 | |
| (810) 985-5127 |
| Full Name | Dr Devin R South |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 20 Years |
| Location | 1501 Krafft Rd, Fort Gratiot, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073742797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301014192 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mawan Shuayto Md Pc | 3072764596 | 8 |
| Entity Name | Mawan Shuayto Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578819850 PECOS PAC ID: 3072764596 Enrollment ID: O20121109000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Devin R South, PSYD, LP 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 Ph: (810) 985-5125 | Dr Devin R South, PSYD, LP 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 Ph: (810) 985-5125 |
Linda A Liethen, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1501 Krafft Rd, Fort Gratiot, MI 48059 Phone: 810-985-5125 Fax: 810-985-5127 | |
Michael J. Duffy Jr., ED.D., L.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1501 Krafft Rd, Fort Gratiot, MI 48059 Phone: 810-985-5125 Fax: 810-985-5127 | |
Ms. Jennifer Horbes, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1501 Krafft Rd, Fort Gratiot, MI 48059 Phone: 810-985-5125 Fax: 810-985-5127 | |
Ms. Lynn M Schroeder, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1501 Krafft Rd, Fort Gratiot, MI 48059 Phone: 810-985-5125 Fax: 810-985-5127 | |
Mr. Eric Shenkar, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3847 Pine Grove Ave, Suite B, Fort Gratiot, MI 48059 Phone: 810-966-3745 | |
Mrs. Philomena Kurzawe-breault, MA, LLP, BCBA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1501 Krafft Rd, Fort Gratiot, MI 48059 Phone: 810-985-5125 |