Provider Demographics
NPI:1578184131
Name:TRANSCEND PSYCHOLOGICAL SERVICES, P.L.L.C
Entity type:Organization
Organization Name:TRANSCEND PSYCHOLOGICAL SERVICES, P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MUNNI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEB
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:313-731-2236
Mailing Address - Street 1:28767 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-2518
Mailing Address - Country:US
Mailing Address - Phone:313-731-2236
Mailing Address - Fax:
Practice Address - Street 1:28767 RYAN RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-2518
Practice Address - Country:US
Practice Address - Phone:313-731-2236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty