Old Town Psychological Services-Gaylord
Old Town Psychological Services-Gaylord is a Clinical Child & Adolescent Psychologist in Gaylord, Michigan. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
128 N Court AveGaylord, MI 49735-1408
Phone: (989) 448-8344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Child & Adolescent Psychologist (primary) | Taxonomy 103TC2200X |
|---|
Record details
| NPI number | 1750659249 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Old Town Psychological Services |
| Authorized official | Michael Hayes — Ceo · (989) 448-8344 |
| NPI enumerated | December 12, 2011 |
| Last updated in NPPES | December 12, 2011 |
| Mailing address | 512 S Union St, Traverse City, MI 49684-3247 |