Whalio Doctors

NPI 1043424690

St Joseph Mercy Hospital

Organisation Psychiatry Physician Canton, MI

Practice location

Address
2200 N Canton Center Rd Suite 200b, Canton, MI 48187-5065
Phone
(734) 981-3800
Mailing address
34505 W 12 Mile Rd STE 200, Farmington Hills, MI 48331-3286

Authorised official

Name
Michael P Gusho
Title
Cfo SE Mi Region
Phone
(248) 858-6174

Registered specialties (6)

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X
Prescribing (Medical) Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TP0016X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X

Registry record

NPI
1043424690
Entity type
Organization
NPI issued
10 May 2007
Record last updated
5 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.