Old Town Psychological Services

NPI #1093989162 in Traverse City, Michigan

Provider Information

NPI Number: 1093989162
Entity Type: Organization
Organization Name: Old Town Psychological Services
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 18, 2008
Last Updated: May 6, 2010

Practice Location

Address: 512 S UNION ST
City: Traverse City
State: Michigan
ZIP Code: 49684-3247
Phone: (231) 941-6550

Authorized Official

Name: DR. MICHAEL P HAYES, PH.D.
Title: CLINICAL DIRECTOR
Phone: (231) 941-6550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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