Organization
PSYCHIATRIC SPECIALTIES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOJANA VEERAMASUNENI PSY.D. (ADMINISTRATOR)
(269) 408-1688
Entity
Organization
Contact information
Practice address
415 MAIN ST STE A, SAINT JOSEPH, MI 49085-3100
(269) 408-1688
(269) 408-1692
Mailing address
415 MAIN ST STE A, SAINT JOSEPH, MI 49085-3100
(269) 408-1688
(269) 408-1692
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301015548
MI
2084P0800X
Psychiatry Physician
Primary
4301044215
MI
Other
Enumeration date
03/08/2007
Last updated
11/10/2022
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