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Contact Information

GERIATRIC PSYCHIATRIC SERVICES PLLC
28800 RYAN RD
SUITE 320
WARREN, MI48092-4272
 Phone: 586-620-8100
 Fax: 866-227-7418
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

364SA2200X 89 Certified Clinical Nurse Specialist
 

Medical

363AM0700X 97 Physician Assistant
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

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

NPI # 1104063239
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2009
Last updated 07/25/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MI Other 500F339520 BCBS PIN NUMBER
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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