Individual
MRS. CAROL KEIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
43996 WOODWARD AVE, BLOOMFIELD HILLS, MI 48302-5028
(248) 338-2988
Mailing address
1800 W LINCOLN ST, BIRMINGHAM, MI 48009-1834
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301005602
MI
103TF0000X
Family Psychologist
Primary
4101005340
MI
106H00000X
Marriage & Family Therapist
4101005340
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007336430
AETNA
MI
01
—
028363
VAL OPT/MCARE/BCN
MI
01
—
0911419
BLUE CHOICE/MAGELLAN/V.O
MI
01
—
0913419
BC MESSA
MI
01
—
130958
CARE CHOICES
MI
01
—
181269
COMPSYCH
MA
01
—
5266701
AETNA
MI
01
—
7509104190
BCBS
MI
Enumeration date
06/20/2006
Last updated
09/11/2025
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