| Child And Family Psychological Services, Pc | |
|
1662 E Centre Ave Portage MI 49002-4496 | |
| (269) 321-8564 | |
| Not Available |
| Full Name | Child And Family Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1662 E Centre Ave, Portage, Michigan |
| Authorized Official Name and Position | Elliott Richelson (PRESIDENT, TREASURER, SECRETARY) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Psychological Services, Pc 2550 S Telegraph Rd Ste 250 Bloomfield Hills MI 48302-0909 Ph: (248) 322-0003 | Child And Family Psychological Services, Pc 1662 E Centre Ave Portage MI 49002-4496 Ph: (269) 321-8564 |
| NPI Number | 1144800855 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144800855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
News Archive
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› Verified 6 days ago
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