Rising Up Psychological Services Pllc

NPI #1295456366 in Marquette, Michigan

Provider Information

NPI Number: 1295456366
Entity Type: Organization
Organization Name: Rising Up Psychological Services Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 7, 2022
Last Updated: Sep 7, 2022

Practice Location

Address: 112 W WASHINGTON ST STE D
City: Marquette
State: Michigan
ZIP Code: 49855-4367
Phone: (906) 869-8003

Authorized Official

Name: DR. EMILY ELIZABETH DEPETRO, PSYD
Title: CLINICAL PSYCHOLOGIST
Phone: (906) 869-8003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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