NPI Profile for PSYCHIATRIC SUPPORT SERVICES PLLC in CANTON, MI.
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pain Medicine |
2084P2900X | 86 | Physician/Neuropsychiatry | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Psychiatric/Mental Health |
364SP0808X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1104147347 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/22/2010 | |
| Last updated | 03/15/2011 - About 15 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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