Pine River Psychological Services Pllc
NPI #1992660005 in Charlevoix, Michigan
Provider Information
- NPI Number
- 1992660005
- Entity Type
- Organization
- Organization Name
- Pine River Psychological Services Pllc
- Primary Specialty
- Psychologist
- Enumeration Date
- Dec 20, 2025
- Last Updated
- Dec 20, 2025
Practice Location
- Address
- 223 BRIDGE ST
- City
- Charlevoix
- State
- Michigan
- ZIP Code
- 49720-1400
- Phone
- (650) 387-3927
Authorized Official
- Name
- DR. MICHAEL DI MARTINO, PSY.D.
- Title
- MANAGING MEMBER
- Phone
- (650) 387-3927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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