NPI: 1174267116 · SANDUSKY, MI 48471 · Counselor · NPI assigned 04/26/2022
| Authorized Official | LIST, JACQUELINE (CEO) |
| Parent Organization | LIST PSYCHOLOGICAL SERVICES, PLC |
| NPI Enumeration Date | 04/26/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 13 | 13 | $2K |