| Steven Thomas Peters, | |
|
651 N State St, Caro, MI 48723-1543 | |
| (989) 673-5700 | |
| Not Available |
| Full Name | Steven Thomas Peters |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 9 Years |
| Location | 651 N State St, Caro, 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 |
|---|---|---|---|
| 1114471687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301017202 (Michigan) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 6301015994 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Therapy Pllc | 9133347354 | 6 |
| Entity Name | List Psychological Services, PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336176031 PECOS PAC ID: 6709799323 Enrollment ID: O20040322001040 |
| Entity Name | Lakeshore Therapy PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699180901 PECOS PAC ID: 9133347354 Enrollment ID: O20140902000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Thomas Peters, 1475 E Brown Rd, Mayville, MI 48744-9503 Ph: (810) 728-8043 | Steven Thomas Peters, 651 N State St, Caro, MI 48723-1543 Ph: (989) 673-5700 |
Kaitlyn Tobin, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 443 N State St., Caro, MI 48723 Phone: 989-672-6160 |
Lawrence A Tribula, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Chambers Rd, Caro, MI 48723 Phone: 989-673-3191 Fax: 989-673-0064 |
Dr. Trevor A. Grice, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 651 N State St, Caro, MI 48723 Phone: 989-673-5700 Fax: 989-672-2555 |
Franz J Zeig, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Chambers Rd, Caro, MI 48723 Phone: 989-673-3191 Fax: 989-673-0064 |
Mrs. Joy Rae Shaw, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 302 North Street, Caro, MI 48723 Phone: 903-393-9219 Fax: 989-286-3201 |
Diane List, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 443 N State St, Caro, MI 48723 Phone: 989-673-5700 Fax: 989-672-2555 |
Brandy Lee Bly, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1655 E Caro Rd, Caro, MI 48723 Phone: 989-673-2500 |