Garret E Payne in Southfield - Clinical

Garret E Payne - NPI 1558422857

Garret E Payne is a Clinical in Southfield, Michigan. Garret E Payne practices all healthcare services and medical treatments related to Clinical. The NPI Number for Garret E Payne is 1558422857. The last update date is 2007-07-08.

Garret E Payne's current location address is 23300 Providence Dr, Southfield, Michigan. You can contact this provider via phone number 2485597590 and fax number 2485596070. The mailing address for Garret E Payne is 23300 Providence Dr, Southfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Garret E Payne
Address 23300 Providence Dr, Southfield, Michigan
Phone Number 2485597590
Fax Number 2485596070
Sole Proprietor Y
Credentials PH.D

NPI Number Detail

NPI Number 1558422857
Provider Enumeration Date 2006-12-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 23300 Providence Dr
City Southfield
State Michigan (MI)
Post Code 480753652
Phone Number 2485597590
Fax Number 2485596070

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 6301002713
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0F34686 MI BLUE CROSS BLUE SHIELD

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FAQs about Garret E Payne

What is the unique 10-digit identifier code issued to Garret E Payne by the Centers for Medicare & Medicaid Services?

The Garret E Payne has been assigned the NPI (National Provider Identifier) 1558422857 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Garret E Payne is physically located?

The Garret E Payne is situated at the following address: 23300 Providence Dr, Southfield, MI 480753652.

What is the Garret E Payne's specialty and taxonomy code?

The Garret E Payne's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1558422857 to Garret E Payne?

The Centers for Medicare & Medicaid Services assigned the 1558422857 to Garret E Payne on 2006-12-12.

When was the information pertaining to Garret E Payne most recently updated or revised?

The details related to Garret E Payne, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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