Poltorak, Dunya Teresa Yaldoo

Poltorak, Dunya Teresa Yaldoo is an sole proprietor health care provider with primary practice located at 199 W Brown St Ste 200, Birmingham MI 48009-6022. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Poltorak, Dunya Teresa Yaldoo can be contacted via phone (248) 203-2333.

Contact Information

Primary practice address
199 W Brown St Ste 200 Birmingham MI 48009-6022
Phone: (248) 203-2333
Fax: (248) 203-2444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5673 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301014136 Michigan

Profile Details

NPI number 1700939519
LBN Legal business name Poltorak, Dunya Teresa Yaldoo
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Mar 19th, 2010 - about 14 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 1700939519 NPPES
Ohio MEDICAID 2221910

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