Oakland Psychological Clinic, P.C. in Fraser - Clinical Child & Adolescent
Oakland Psychological Clinic, P.C. - NPI 1770772436
Oakland Psychological Clinic, P.C. is a Clinical Child & Adolescent in Fraser, Michigan. Oakland Psychological Clinic, P.C. practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Oakland Psychological Clinic, P.C. is 1770772436. The last update date is 2022-12-30.
Oakland Psychological Clinic, P.C.'s current location address is 16664 15 Mile Rd, Fraser, Michigan. You can contact this provider via phone number 5862940805 and fax number 5862940805. The mailing address for Oakland Psychological Clinic, P.C. is 16664 15 Mile Rd, Fraser, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oakland Psychological Clinic, P.C. |
|---|---|
| Address | 16664 15 Mile Rd, Fraser, Michigan |
| Phone Number | 5862940805 |
| Fax Number | 5862940805 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT, |
|---|---|
| Authorized Official Name | Richelson Elliott |
| Credentials | M.D. |
| Telephone Number | 9046054986 |
NPI Number Detail
| NPI Number | 1770772436 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2022-12-30 |
Provider Mailing Address Detail
| Address | 16664 15 Mile Rd |
|---|---|
| City | Fraser |
| State | Michigan (MI) |
| Post Code | 480263713 |
| Phone Number | 5862940805 |
| Fax Number | 5862940805 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique identification code assigned to Oakland Psychological Clinic, P.C. by the Centers for Medicare & Medicaid Services?
The Oakland Psychological Clinic, P.C. has been issued the NPI (National Provider Identifier) 1770772436. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Oakland Psychological Clinic, P.C.?
The Oakland Psychological Clinic, P.C. is physically situated at 16664 15 Mile Rd, in the city of Fraser, state of MI, with the postal code 480263713.
What is the Oakland Psychological Clinic, P.C.'s specialty and taxonomy code?
The Oakland Psychological Clinic, P.C.'s specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770772436 to Oakland Psychological Clinic, P.C.?
The Oakland Psychological Clinic, P.C. received its 1770772436 assignment from the Centers for Medicare & Medicaid Services on 2007-10-18.
As of what date were the details related to Oakland Psychological Clinic, P.C. most recently updated or revised?
The information pertaining to Oakland Psychological Clinic, P.C., including its address, specialty, and other relevant details, was last updated or revised on 2022-12-30.
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