| Dina Baldwin Berdy Llc | |
|
575 E Big Beaver Rd Suite 260 Troy MI 48083-1300 | |
| (248) 561-6875 | |
| Not Available |
| Full Name | Dina Baldwin Berdy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 575 E Big Beaver Rd, Troy, Michigan |
| Authorized Official Name and Position | Dina Baldwin Berdy (SOCIAL WORKER) |
| Authorized Official Contact | 2485616875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dina Baldwin Berdy Llc 575 E Big Beaver Rd Suite 260 Troy MI 48083-1300 Ph: (248) 561-6875 | Dina Baldwin Berdy Llc 575 E Big Beaver Rd Suite 260 Troy MI 48083-1300 Ph: (248) 561-6875 |
| NPI Number | 1689046732 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 10/28/2015 |
| Medicare PECOS PAC ID | 0749581130 |
|---|---|
| Medicare Enrollment ID | O20151208002600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689046732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801084378 (Michigan) | Primary |
| Provider Name | Dina B Berdy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760685291 PECOS PAC ID: 2062578438 Enrollment ID: I20090310000364 |
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