Organization
BAY PSYCHOLOGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA MAE SIERAKOWSKI MALLP (EXECUTIVE DIRECTOR)
(989) 686-1990
Entity
Organization
Contact information
Practice address
3941 TRAXLER COURT, SUITE 300, BAY CITY, MI 48706
(989) 686-1990
(989) 686-0474
Mailing address
3941 TRAXLER COURT, SUITE 300, BAY CITY, MI 48706
(989) 686-1990
(989) 686-0474
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401001984
—
101YP2500X
Professional Counselor
6401006762
—
103T00000X
Psychologist
6301002384
—
103T00000X
Psychologist
6301003403
—
103T00000X
Psychologist
6301007950
—
103T00000X
Psychologist
6301009280
—
104100000X
Social Worker
6801064601
—
104100000X
Social Worker
6801071978
—
2084P0800X
Psychiatry Physician
Primary
4301035010
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4438960
AETNA
—
01
—
7509105610
BCBSM
—
Enumeration date
10/02/2006
Last updated
02/15/2011
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