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Contact Information

LIST PSYCHOLOGICAL SERVICES
1600 N MICHIGAN AVE
ROOM 506
SAGINAW, MI48602-5306
 Phone: 989-758-3720
 Fax: 989-758-3760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LIST PSYCHOLOGICAL SERVICES

NPI Number 1124357488
LBN Legal business name LIST PSYCHOLOGICAL SERVICES
Authorized official DIANE LIST - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2009
Last updated 12/16/2009 - About 16 years ago
Identifiers
MI Other 034530 VALUE OPTIONS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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