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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