| Takako Benn Md Pllc | |
|
251 E Merrill St Ste 230 Birmingham MI 48009-6116 | |
| (248) 949-0484 | |
| (248) 773-8565 |
| Full Name | Takako Benn Md Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 251 E Merrill St Ste 230, Birmingham, Michigan |
| Authorized Official Name and Position | Takako Benn (DIRECTOR) |
| Authorized Official Contact | 2482489490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Takako Benn Md Pllc 251 E Merrill St Ste 230 Birmingham MI 48009-6116 Ph: (248) 949-0484 | Takako Benn Md Pllc 251 E Merrill St Ste 230 Birmingham MI 48009-6116 Ph: (248) 949-0484 |
| NPI Number | 1851961197 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Medicare PECOS PAC ID | 3476955279 |
|---|---|
| Medicare Enrollment ID | O20210716000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851961197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
| Provider Name | Takako Benn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932596731 PECOS PAC ID: 9335473321 Enrollment ID: I20190625002569 |
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