Organization
JAYNE FABRY, PTC ASSOCIATES
Active
Other names
Professional Therapy Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE FABRY CLINICAL PSYCHOLOGIS (OWNER)
(269) 552-9832
Entity
Organization
Contact information
Practice address
1651 W CENTRE AVE, PORTAGE, MI 49024-6312
(269) 552-9832
Mailing address
1651 W CENTRE AVE, PORTAGE, MI 49024-6312
(269) 552-9832
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008864
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C913440
BCBSM
MI
Enumeration date
09/15/2007
Last updated
08/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us