| Hoberman Clinic | |
|
1800 Grindley Park St Suite 3 Dearborn MI 48124-2553 | |
| (313) 277-1166 | |
| (313) 277-3414 |
| Full Name | Hoberman Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1800 Grindley Park St, Dearborn, Michigan |
| Authorized Official Name and Position | Melvin Hoberman (OWNER) |
| Authorized Official Contact | 3132771166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoberman Clinic 1800 Grindley Park St Suite 3 Dearborn MI 48124-2553 Ph: (313) 277-1166 | Hoberman Clinic 1800 Grindley Park St Suite 3 Dearborn MI 48124-2553 Ph: (313) 277-1166 |
| NPI Number | 1871864579 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 01/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871864579 | NPI | - | NPPES |
| 195511 | Other | MI | VALUE OPTIONS |
| 0007263796 | Other | MI | AETNA |
| 0897467 | Other | MI | BCBS/BCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6301002903 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6301002903 (Michigan) | Primary |
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