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Organization

PSYCHIATRIC SUPPORT SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRYAN S. WEINSTEIN D.O. (OWNER)
(248) 471-7171
Entity
Organization

Contact information

Practice address
6200 N HAGGERTY RD, SUITE 100, CANTON, MI 48187-3605
(248) 471-7171
(248) 471-1212
Mailing address
20010 FARMINGTON RD, LIVONIA, MI 48152-1408
(248) 471-7171
(248) 471-1212

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
363A00000X
Physician Assistant
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist

Other

Enumeration date
06/22/2010
Last updated
03/15/2011
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