Burdette And Doss Psychological Services Lc, NPI 1073647731
Mental Health Clinic/Center (Including Community Mental Health Center) in Southfield, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1073647731
NPI Entity Type Organization
Provider Name Burdette And Doss Psychological Services Lc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 17352 W 12 Mile Rd, Suite 100, Southfield, MI, US
Provider Mailing Address 17352 W 12 Mile Rd, Suite 100, Southfield, MI, US, 480762119
Is Sole Proprietor? No
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Organization Official

Official Name MS. Barbara Ann Elisabeth Tysell
Official Position ADMINISTRATIVE DIRECTOR
Phone 248-559-0730

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

261QM0801X

Taxonomy Name Mental Health Clinic/Center (Including Community Mental Health Center)
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 630534
License State MI
Description Definition to come...

Business Address

Burdette And Doss Psychological Services Lc
17352 W 12 Mile Rd
Suite 100

Southfield, MI, US

Phone: 248-559-0730
Fax: 248-569-7626

Mailing Address

Burdette And Doss Psychological Services Lc
17352 W 12 Mile Rd
Suite 100
Southfield, MI, US
ZIP 480762119
Phone: 248-559-0730
Fax: 248-569-7626

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
750910921 MI BCBS TRADITIONAL CODE 01
20700 MI BCBS SUB AB AND MGD CARE 01
7509109210 MI BCBS NASCO IDENTIFIER 01
1316097488 MI NPPESJAMES A. COWLEY NPI 01
26 0 F3 2684 0 MI NASCO GROUP TRACKING ID 01
38314498 MI HAP PROVIDER ID 01
7509109210 MI VALUEOPTIONS 01
0911921 MI BCBS PROVIDER ID MDS 01
0913921 MI BCBS PROVIDER ID MASTERS 01
630534 MI STATE SUBSTANCE ABUSE LIC 01
0912921 MI BCBS PROVIDER ID PHDS 01
10921 MI BCBS MANAGED CARE CODE 01
F037350 MI WEB DENIS IDENTIFIER 01
187925000 MI MAGELLAN IDENTIFIER 01
0910921 MI BCBS OF MICHIGAN 01
125750 MI VALUE OPTIONS PROVIDER ID 01
P69427 MI BLUE CARE NETWORK PIN 01

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Logan Morse

Individual

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7343 Oakhaven Ct Ne

Ada, MI

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