Horse Play, Llc | |
2820 Niles Rd Saint Joseph MI 49085-3338 | |
(269) 405-0653 | |
Not Available |
Full Name | Horse Play, Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 2820 Niles Rd, Saint Joseph, Michigan |
Authorized Official Name and Position | Kristine Proctor (OWNER) |
Authorized Official Contact | 2694050653 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Horse Play, Llc 2820 Niles Rd Saint Joseph MI 49085-3338 Ph: (269) 405-0653 | Horse Play, Llc 2820 Niles Rd Saint Joseph MI 49085-3338 Ph: (269) 405-0653 |
NPI Number | 1437464229 |
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Provider Enumeration Date | 08/17/2010 |
Last Update Date | 08/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437464229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301013553 (Michigan) | Primary |
1041C0700X | Social Worker - Clinical | 6801069783 (Michigan) | Secondary |
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