Collaborative Psychiatric Group PC

Organization Active NPI Psychiatry Physician · Haslett, MI

NPI 1003096645 · NPPES record last updated Nov 12, 2007

Key facts

NPI
1003096645
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
Legal business name
COLLABORATIVE PSYCHIATRIC GROUP PC
Practice address
1150 Cliffdale Dr
Haslett, MI 48840-9782
Phone
(517) 339-8485
Fax
(517) 339-8485
NPI assigned
Nov 12, 2007
Organization subpart
No

Authorized official

Name
Harriet A. Squier, MD
Title
Ceo
Phone
(517) 339-8485

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084P0800X Yes

Addresses

Primary practice location

1150 Cliffdale Dr
Haslett, MI 48840-9782

Mailing address

1150 Cliffdale Dr
Haslett, MI 48840-9782
Phone (517) 339-8485

Other providers in Haslett, MI

All providers in Haslett, MI · Psychiatry Physician in Michigan

Sources for this page

Verify at the official NPI Registry.