Organization
CLINTON COUNTY MEDICAL CENTER PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD ALLEN MESSENGER (AUTHORIZED OFFICIAL)
(989) 292-3572
Entity
Organization
Contact information
Practice address
1505 WATERFORD PKWY, SAINT JOHNS, MI 48879-9630
(989) 292-3572
(989) 292-3952
Mailing address
1505 WATERFORD PKWY, SAINT JOHNS, MI 48879-9630
(989) 292-3572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/04/2025
Last updated
02/07/2025
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