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Organization

PINE RIVER PSYCHOLOGICAL SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL DI MARTINO PSY.D. (MANAGING MEMBER)
(650) 387-3927
Entity
Organization

Contact information

Practice address
223 BRIDGE ST, CHARLEVOIX, MI 49720-1400
(650) 387-3927
Mailing address
4053 OLD 31 S, CHARLEVOIX, MI 49720-9691
(650) 387-3927

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
12/20/2025
Last updated
03/17/2026
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