Octave Behavioral Michigan PC

NPI #1083423164 in Springfield, Illinois

Provider Information

NPI Number
1083423164
Entity Type
Organization
Organization Name
Octave Behavioral Michigan PC
Primary Specialty
Psychologist
Enumeration Date
Jan 3, 2025
Last Updated
Jun 27, 2025

Practice Location

Address
801 ADLAI STEVENSON DR
ZIP Code
62703-4261
Phone
(415) 360-3833

Authorized Official

Name
KYM EVERETT
Title
VP REVENUE OPERATIONS
Phone
(650) 504-2289

Specialties & Taxonomy Codes

Specialty
Psychologist

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