Restum, Shadi

Restum, Shadi is an individual health care provider with primary practice located at 835 Mason St Ste A-240 , Dearborn MI 48124-2231. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Restum, Shadi can be contacted via phone (313) 515-1077.

Contact Information

Primary practice address
835 Mason St Ste A-240 Dearborn MI 48124-2231
Phone: (313) 515-1077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1518477165
LBN Legal business name Restum, Shadi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated Jul 8th, 2021 - about 4 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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