Organization
ST MARY MERCY PHYSICIAN PRACTICES
Active
Organization
ST MARY MERCY PHYSICIAN PRACTICES
Active
Other names
St. Joe's Outpatient Psychiatry and Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SPIVEY (PRESIDENT)
(734) 655-1610
Entity
Organization
Contact information
Practice address
37595 7 MILE RD STE 230, LIVONIA, MI 48152-1003
(734) 743-4540
(734) 743-4541
Mailing address
44428 WOODWARD AVE STE 101, PONTIAC, MI 48341-5009
(248) 858-3015
(248) 858-6232
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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