MR. PATRICK JUMBO EYO


Address: 7810 Southfield Fwy, Detroit, MI 48228-3580
Phone: 3134655111

MR. PATRICK JUMBO EYO (NPI# 1609213354) 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) 1609213354
Entity Type Individual
Full Name MR. PATRICK JUMBO EYO
Credential MA, M.A.C.P. LLP
Practice Address 7810 Southfield Fwy
Detroit
MI 48228-3580
Mailing Address 19421 Tireman St
Detroit
MI 48228-3337
Practice Telephone 3134655111
Mailing Telephone 3134655111
Enumeration Date 2013-06-03
Last Update Date 2013-06-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
6301015504 MI Behavioral Health & Social Service Providers

Office Location

Street Address 7810 SOUTHFIELD FWY
City DETROIT
State MI
Zip Code 48228-3580

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NPI Name Taxonomy Address Enumeration
1780099333 New Life Counseling and Community Services, LLC Respite Care 7810 Southfield Fwy, Detroit, MI 48228-3580 2014-06-23

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386114163 Katrina Lynn Griffin Psychologist 15017 Liberal St, Detroit, MI 48205-1967 2018-12-05
1063865830 Gloria A. Love Psychologist 19677 Revere, Detroit, MI 48234 2016-07-18
1710316534 How-adolescent Substance Abuse Program, LLC Psychologist 8131 E Outer Dr, Detroit, MI 48213-1323 2013-11-02
1255595948 Crystal A. Jackson Psychologist 3011 W Grand Blvd Ste 413, Detroit, MI 48202-3011 2008-07-11
1235301656 Regina Brown Psychologist 14540 Faust Ave, Detroit, MI 48223-2321 2008-03-26
1679055982 Erica Jaske Psychologist 40 E Ferry St, Detroit, MI 48202-3802 2018-09-04
1376966572 Elise Ashley Goulbourne Psychologist 5555 Conner St, Suite 1038, Detroit, MI 48213-3448 2014-01-24
1710308598 Alissa Dugan Psychologist 1700 Waterman St, Detroit, MI 48209-2022 2013-12-23
1548606320 Sherry Ellen Mcrill Psychologist 2900 Conner St, Bldg A, Detroit, MI 48215-2407 2013-05-20
1609128503 Joann Thompson Psychologist 2925 Russell St, Detroit, MI 48207-4825 2012-10-03
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Competitor

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City DETROIT
Zip Code 48228

Improve Information

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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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