| Steven J. Fadoir, Ph.d. P.c. | |
|
31330 Northwestern Hwy Suite D Farmington Hills MI 48334-2560 | |
| (248) 737-9903 | |
| (248) 737-9963 |
| Full Name | Steven J. Fadoir, Ph.d. P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 31330 Northwestern Hwy, Farmington Hills, Michigan |
| Authorized Official Name and Position | Steven J. Fadoir (OWNER / PRESIDENT) |
| Authorized Official Contact | 2487379903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven J. Fadoir, Ph.d. P.c. 31330 Northwestern Hwy Suite D Farmington Hills MI 48334-2560 Ph: (248) 737-9903 | Steven J. Fadoir, Ph.d. P.c. 31330 Northwestern Hwy Suite D Farmington Hills MI 48334-2560 Ph: (248) 737-9903 |
| NPI Number | 1194985689 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Medicare PECOS PAC ID | 6103991468 |
|---|---|
| Medicare Enrollment ID | O20080820000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194985689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6301006008 (Michigan) | Primary |
| Provider Name | Steven J Fadoir |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457486698 PECOS PAC ID: 4385719632 Enrollment ID: I20080820000697 |
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