Peaceful Banyan | |
409 Plymouth Rd Ste 270 Plymouth MI 48170-1842 | |
(248) 444-5479 | |
Not Available |
Full Name | Peaceful Banyan |
---|---|
Speciality | Psychologist |
Location | 409 Plymouth Rd Ste 270, Plymouth, Michigan |
Authorized Official Name and Position | Anne Marie Caldwell (SOLE MEMBER) |
Authorized Official Contact | 2484445479 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peaceful Banyan 409 Plymouth Rd Ste 270 Plymouth MI 48170-1842 Ph: (248) 444-5479 | Peaceful Banyan 409 Plymouth Rd Ste 270 Plymouth MI 48170-1842 Ph: (248) 444-5479 |
NPI Number | 1194348458 |
---|---|
Provider Enumeration Date | 05/21/2020 |
Last Update Date | 05/21/2020 |
Certification Date | 05/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194348458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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