Jamail Psychological Clinic Pc

LBN: Jamail Psychological Clinic Pc
Jamail Psychological Clinic Pc is an health care organization with primary practice located at 1114 Beach St , Flint MI 48502-1407. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Jamail Psychological Clinic Pc can be contacted via phone (810) 767-4114, or through Jamail, Suzanne via phone (810) 767-4114.

Contact Information

Primary practice address
1114 Beach St Flint MI 48502-1407
Phone: (810) 767-4114
Fax: (810) 767-4429
Website:
Map and Directions
Authorized official contact:
Name: Jamail, Suzanne PHD
Phone: (810) 767-4114

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301009004 Michigan

Profile Details

NPI number 1043245533
LBN Legal business name Jamail Psychological Clinic Pc
DBA Doing business as
Authorized official Jamail, Suzanne PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 4th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043245533 NPPES
Michigan Other 680B545430 BCBSM

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