Kelly Jean Myers in Bloomfield Hills - Clinical
Kelly Jean Myers - NPI 1750560231
Kelly Jean Myers is a Clinical in Bloomfield Hills, Michigan. Kelly Jean Myers practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Jean Myers is 1750560231. The last update date is 2017-11-15.
Kelly Jean Myers's current location address is 800 W Long Lake Rd, Bloomfield Hills, Michigan. You can contact this provider via phone number 2487527453. The mailing address for Kelly Jean Myers is 800 W Long Lake Rd, Bloomfield Hills, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Jean Myers |
|---|---|
| Address | 800 W Long Lake Rd, Bloomfield Hills, Michigan |
| Phone Number | 2487527453 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1750560231 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2017-11-15 |
Provider Mailing Address Detail
| Address | 800 W Long Lake Rd |
|---|---|
| City | Bloomfield Hills |
| State | Michigan (MI) |
| Post Code | 483022056 |
| Phone Number | 2487527453 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301013649 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680F389730 | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly Jean Myers by the Centers for Medicare & Medicaid Services?
The Kelly Jean Myers has been issued the NPI (National Provider Identifier) 1750560231 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Kelly Jean Myers's physical address?
The Kelly Jean Myers is physically located at 800 W Long Lake Rd, in the city of Bloomfield Hills, MI, with the postal code 483022056.
What is Kelly Jean Myers's area of expertise and its corresponding taxonomy classification?
The Kelly Jean Myers's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kelly Jean Myers receive the assignment of its 1750560231 from the Centers for Medicare & Medicaid Services?
The Kelly Jean Myers was issued its 1750560231 by the Centers for Medicare & Medicaid Services on 2007-10-31.
As of what date were the details related to Kelly Jean Myers most recently updated or revised?
The information pertaining to Kelly Jean Myers, including its address, specialty, and other relevant details, was last updated or revised on 2017-11-15.