Mclaren Bay Region
NPI #1013056233 in Essexville, Michigan
Provider Information
- NPI Number
- 1013056233
- Entity Type
- Organization
- Organization Name
- Mclaren Bay Region
- Primary Specialty
- Psychologist
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Aug 7, 2018
Practice Location
- Address
- 1480 W CENTER RD
- City
- Essexville
- State
- Michigan
- ZIP Code
- 48732
- Phone
- (989) 895-4625
Authorized Official
- Name
- DANIELLE C JACKS PORTER
- Title
- CFO
- Phone
- (989) 894-3838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Nurse Practitioner |
| Psychologist |
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