Dennis, Wanda Denise
Dennis, Wanda Denise is an individual health care provider with primary practice located at 30100 Telegraph Rd , Bingham Farms MI 48025-4514. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dennis, Wanda Denise can be contacted via phone (248) 443-7021.Contact Information
Primary practice address
30100 Telegraph Rd
Bingham Farms MI 48025-4514
Phone: (248) 443-7021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY003531 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301011636 | Michigan |
Profile Details
| NPI number | 1184649378 |
|---|---|
| LBN Legal business name | Dennis, Wanda Denise |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Oct 3rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184649378 | NPPES |
| Michigan | Other | VALUEOPTIONS | BCBC, BCN |
| Michigan | Other | 2055092 | BCBC, BCN |
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