NPI 1093989162

Old Town Psychological Services

Organisation Clinical Psychologist Traverse City, MI

Practice location

Address: 512 S Union St, Traverse City, MI 49684-3247
Phone: (231) 941-6550

Authorised official

Name: Michael P Hayes
Title: Clinical Director
Phone: (231) 941-6550

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 6301008748 (MI)

Other Psychologist providers in Michigan →

Registry record

NPI: 1093989162
Entity type: Organization
NPI issued: 18 Apr 2008
Record last updated: 6 May 2010

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.