Provider Demographics
NPI:1497053102
Name:FAMILY PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:FAMILY PSYCHOLOGICAL SERVICES
Other - Org Name:DR. MARIA TERESA DAUNTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:DAUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:231-347-7665
Mailing Address - Street 1:2040 INTERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-9746
Mailing Address - Country:US
Mailing Address - Phone:231-347-7665
Mailing Address - Fax:231-348-0904
Practice Address - Street 1:2040 INTERTOWN RD
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-9746
Practice Address - Country:US
Practice Address - Phone:231-347-7665
Practice Address - Fax:231-348-0904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI005398261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service