Organization
OLD TOWN PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P HAYES PH.D. (CLINICAL DIRECTOR)
(231) 941-6550
Entity
Organization
Contact information
Practice address
512 S UNION ST, TRAVERSE CITY, MI 49684-3247
(231) 941-6550
Mailing address
512 S UNION ST, TRAVERSE CITY, MI 49684-3247
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008748
MI
Other
Enumeration date
04/18/2008
Last updated
05/06/2010
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