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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184649378 NPPES
Michigan Other VALUEOPTIONS BCBC, BCN
Michigan Other 2055092 BCBC, BCN

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