New Creation Psychological Servies
Organization Active NPI Psychologist · Bailey, MI
NPI 1215067608 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1215067608
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 6301011963 (MI)
- Legal business name
- NEW CREATION PSYCHOLOGICAL SERVIES
- Practice address
- 17635 Pearl St
Bailey, MI 49303-9750 - Phone
- (231) 343-7969
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Carmen Colleen Baldus, ED.D.
- Title
- President Psychologist
- Phone
- (231) 652-1299
Practitioners 1
-
Carmen Baldus, ED.D.
National Provider Directory
Locations
17635 Pearl St
Bailey, MI 49303
Phone (231) 343-7969
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 6301011963 | MI | Yes |
Addresses
Primary practice location
17635 Pearl St
Bailey, MI 49303-9750
Mailing address
7800 S River Ridge Rd
Newaygo, MI 49337-9752
Phone (231) 652-1299
Other providers in Bailey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.