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Contact Information

PSYCHIATRIC SUPPORT SERVICES PLLC
6200 N HAGGERTY RD
SUITE 100
CANTON, MI48187-3605
 Phone: 248-471-7171
 Fax: 248-471-1212
 Website:
 

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
Indicates primary specialty

NPI Profile & details for PSYCHIATRIC SUPPORT SERVICES PLLC · (Female)

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
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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