Fordham, Destiny Antanay-Lamarria

Fordham, Destiny Antanay-Lamarria is an individual health care provider with primary practice located at 35425 W. Michigan Ave , Wayne MI 48184. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Eye and Vision Services Providers / Technician/Technologist, Other Service Providers / Prosthetics Case Management. Other Service Providers / Prosthetics Case Management is her primary health care specialty. Fordham, Destiny Antanay-Lamarria can be contacted via phone (734) 467-7600.

Contact Information

Primary practice address
35425 W. Michigan Ave Wayne MI 48184
Phone: (734) 467-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Eye and Vision Services Providers / Technician/Technologist 156F00000X
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1558874081
LBN Legal business name Fordham, Destiny Antanay-Lamarria
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2017
Last updated Jul 19th, 2021 - about 3 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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