| Prestige Behavioral Therapy Development Center Llc | |
|
28249 Bell Rd Southfield MI 48034 | |
| (313) 492-6007 | |
| (866) 496-9908 |
| Full Name | Prestige Behavioral Therapy Development Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 28249 Bell Rd, Southfield, Michigan |
| Authorized Official Name and Position | Diane Dupree (OWNER/CEO) |
| Authorized Official Contact | 3134926007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Behavioral Therapy Development Center Llc 28249 Bell Rd Southfield MI 48034-5141 Ph: (313) 492-6007 | Prestige Behavioral Therapy Development Center Llc 28249 Bell Rd Southfield MI 48034 Ph: (313) 492-6007 |
| NPI Number | 1124365341 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 09/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124365341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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