DR. ELANA GOELL-VARKOVITZKY


Address: 26111 W. 14 Mile Road, Suite Ll3, Franklin Village, MI 48025-1168
Phone: 2487374855

DR. ELANA GOELL-VARKOVITZKY (NPI# 1629293352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629293352
Entity Type Individual
Full Name DR. ELANA GOELL-VARKOVITZKY
Credential PH.D.
Practice Address 26111 W. 14 Mile Road
Suite Ll3
Franklin Village
MI 48025-1168
Mailing Address 6279 Dakota Cir
Bloomfield Hills
MI 48301-1567
Practice Telephone 2487374855
Mailing Telephone 2488651525
Enumeration Date 2007-04-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6301006995 MI Behavioral Health & Social Service Providers

Office Location

Street Address 26111 W. 14 MILE ROAD
SUITE LL3
City FRANKLIN VILLAGE
State MI
Zip Code 48025-1168

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City FRANKLIN VILLAGE
Zip Code 48025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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