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Contact Information

PRESTIGE BEHAVIORAL THERAPY DEVELOPMENT CENTER LLC
28249 BELL RD
SOUTHFIELD, MI48034
 Phone: 313-492-6007
 Fax: 866-496-9908
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PRESTIGE BEHAVIORAL THERAPY DEVELOPMENT CENTER LLC · (Female)

NPI Number 1124365341
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2013
Last updated 09/29/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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