| Old Town Psychological Services-gaylord | |
|
128 N Court Ave Gaylord MI 49735-1408 | |
| (989) 448-8344 | |
| Not Available |
| Full Name | Old Town Psychological Services-gaylord |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 128 N Court Ave, Gaylord, Michigan |
| Authorized Official Name and Position | Michael P Hayes (CEO) |
| Authorized Official Contact | 9894488344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town Psychological Services-gaylord 512 S Union St Traverse City MI 49684-3247 Ph: (231) 941-6550 | Old Town Psychological Services-gaylord 128 N Court Ave Gaylord MI 49735-1408 Ph: (989) 448-8344 |
| NPI Number | 1750659249 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 12/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750659249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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