Individual
DR. BARBARA LEE MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
725 SOUTH ADAMS ROAD, L-134, BIRMINGHAM, MI 48009-6996
(248) 802-1028
(248) 618-1025
Mailing address
725 SOUTH ADAMS ROAD, L-134, BIRMINGHAM, MI 48009-6996
(248) 802-1028
(248) 618-7025
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099128
MANAGED HEALTH NETWORK
—
01
—
11282443
CAQH
—
01
—
120649
VALUE OPTIONS
—
01
—
382434025
PPOM
—
01
—
680F334050
BLUE CROSS AND BLUE SHIEL
MI
01
—
71779
CIGNA BEHAVIORAL HEALTH
—
01
—
M034769
CHAMPUS
MI
Enumeration date
02/07/2007
Last updated
10/03/2012
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