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NPI Code Detail

MEDICARE: REBECCA PRESTON PSY.D.

MEDICARE: REBECCA PRESTON PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist6301016376MI

General Provider Information

NPI Number : 1609247618
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA PRESTON PSY.D.
Provider Business Mailing Address
First Line : 2222 W GRAND RIVER AVE STE A
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1604
Country : US
Telephone Number : 616-634-2886
Fax Number :
Provider Business Practice Location Address
First Line : 2222 W GRAND RIVER AVE STE A
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1604
Country : US
Telephone Number : 616-634-2886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2015
Last Update Date : 04/16/2025

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Directions to “ REBECCA PRESTON PSY.D.” Practice Location

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