Memory and Movement Disorders Clinic, Pllc
NPI #1265609960 in Traverse City, Michigan
Provider Information
- NPI Number
- 1265609960
- Entity Type
- Organization
- Organization Name
- Memory and Movement Disorders Clinic, Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 12, 2008
- Last Updated
- May 12, 2008
Practice Location
- Address
- 1213 W FRONT ST
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49684-2317
- Phone
- (231) 935-0386
Authorized Official
- Name
- DIANE S PARSONS, MD
- Title
- SOLE MEMBER
- Phone
- (231) 935-0386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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