Individual
DR. PATRICIA ANN MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
29887 W 11 MILE RD, FARMINGTON HILLS, MI 48336-1309
(248) 474-4701
(248) 474-1518
Mailing address
29887 W 11 MILE RD, FARMINGTON HILLS, MI 48336-1309
(248) 474-4701
(248) 474-1518
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11283164
CAQH PROVIDER ID
MI
01
—
680F33265
BCBS PIN #
MI
Enumeration date
03/15/2007
Last updated
05/12/2011
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