Tietema, Tanya Dechantel
Tietema, Tanya Dechantel is an sole proprietor health care provider with primary practice located at 1 Parklane Blvd Ste 1210 , Dearborn MI 48126-2400. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Tietema, Tanya Dechantel can be contacted via phone (800) 693-1916.Contact Information
Primary practice address
1 Parklane Blvd Ste 1210
Dearborn MI 48126-2400
Phone: (800) 693-1916
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6361007262 | Michigan |
Profile Details
| NPI number | 1467648782 |
|---|---|
| LBN Legal business name | Tietema, Tanya Dechantel |
| Credentials | MA, LLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2007 |
| Last updated | Aug 5th, 2022 - about 2 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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