Ckg Psych Inc | |
628 E Parent Ave Suite 202 Royal Oak MI 48067-3765 | |
(510) 214-2544 | |
Not Available |
Full Name | Ckg Psych Inc |
---|---|
Speciality | Psychologist - Clinical |
Location | 628 E Parent Ave, Royal Oak, Michigan |
Authorized Official Name and Position | Corie Gould (OWNER/LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 4066982722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ckg Psych Inc 628 E Parent Ave Suite 202 Royal Oak MI 48067-3765 Ph: (510) 214-2544 | Ckg Psych Inc 628 E Parent Ave Suite 202 Royal Oak MI 48067-3765 Ph: (510) 214-2544 |
NPI Number | 1013469410 |
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Provider Enumeration Date | 11/01/2016 |
Last Update Date | 11/01/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013469410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301016590 (Michigan) | Primary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 6301016590 (Michigan) | Secondary |
News Archive
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