Keidan, Carol

Keidan, Carol is an individual health care provider with primary practice located at 43996 Woodward Ave , Bloomfield Hills MI 48302-5028. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Keidan, Carol can be contacted via phone (248) 338-2988.

Contact Information

Primary practice address
43996 Woodward Ave Bloomfield Hills MI 48302-5028
Phone: (248) 338-2988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301005602 Michigan
Behavioral Health & Social Service Providers / Family 103TF0000X 4101005340 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101005340 Michigan

Profile Details

NPI number 1003852005
LBN Legal business name Keidan, Carol
Credentials MA LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1003852005 NPPES
Michigan Other 0007336430 AETNA
Michigan Other 181269 AETNA
Michigan Other 028363 AETNA
Michigan Other 0911419 AETNA
Michigan Other 0913419 AETNA
Michigan Other 5266701 AETNA
Michigan Other 7509104190 AETNA
Michigan Other 130958 AETNA

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