Crossroads Group, Llc | |
667 Kuehnle St Ann Arbor MI 48103-2608 | |
(734) 660-4828 | |
(734) 994-9722 |
Full Name | Crossroads Group, Llc |
---|---|
Speciality | Psychologist |
Location | 667 Kuehnle St, Ann Arbor, Michigan |
Authorized Official Name and Position | Dorella Louise Bond (MEMBER/OWNER) |
Authorized Official Contact | 7346604828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crossroads Group, Llc 667 Kuehnle St Ann Arbor MI 48103-2608 Ph: (734) 660-4828 | Crossroads Group, Llc 667 Kuehnle St Ann Arbor MI 48103-2608 Ph: (734) 660-4828 |
NPI Number | 1023116480 |
---|---|
Provider Enumeration Date | 09/20/2006 |
Last Update Date | 07/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023116480 | NPI | - | NPPES |
060001850CT01 | Other | CT | BC/BS OF CT |
1780613885 | Other | MI | INDIVIDUAL NPI |
68-0-F3-3231-0 | Other | MI | BC/BS OF MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301012697 (Michigan) | Primary |
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› Verified 8 days ago
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