| Spencer Manor Living Well | |
|
2219 S Term St Burton MI 48519-1030 | |
| (810) 744-2777 | |
| Not Available |
| Full Name | Spencer Manor Living Well |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 2219 S Term St, Burton, Michigan |
| Authorized Official Name and Position | Patricia Marie Royster (OWNER) |
| Authorized Official Contact | 8107442777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Manor Living Well 2219 S Term St Burton MI 48519-1030 Ph: () - | Spencer Manor Living Well 2219 S Term St Burton MI 48519-1030 Ph: (810) 744-2777 |
| NPI Number | 1750641452 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 05/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750641452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | AS250306594 (Michigan) | Primary |
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