| Premier Professional Group, Llc | |
|
42450 W 12 Mile Rd Suite #315 Novi MI 48377-3013 | |
| (248) 513-4100 | |
| (248) 513-4105 |
| Full Name | Premier Professional Group, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 42450 W 12 Mile Rd, Novi, Michigan |
| Authorized Official Name and Position | Dahlia Brenda Berkovitz (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2485134100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Professional Group, Llc 42450 W 12 Mile Rd Suite #315 Novi MI 48377-3013 Ph: (248) 513-4100 | Premier Professional Group, Llc 42450 W 12 Mile Rd Suite #315 Novi MI 48377-3013 Ph: (248) 513-4100 |
| NPI Number | 1376974733 |
|---|---|
| Provider Enumeration Date | 12/10/2013 |
| Last Update Date | 12/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376974733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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