Derdowski, Samantha
Derdowski, Samantha is an individual health care provider with primary practice located at 1009 Washington Ave , Bay City MI 48708-5705. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Derdowski, Samantha can be contacted via phone (989) 928-3566.Contact Information
Primary practice address
1009 Washington Ave
Bay City MI 48708-5705
Phone: (989) 928-3566
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Michigan | |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6851116133 | Michigan |
Profile Details
NPI number | 1750929063 |
---|---|
LBN Legal business name | Derdowski, Samantha |
Credentials | LLMSW, DP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 17th, 2019 |
Last updated | Jul 5th, 2023 - about last year |
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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