Organization
PREMIER PROFESSIONAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAHLIA B BERKOVITZ PHD (MEMBER)
(248) 513-4100
Entity
Organization
Contact information
Practice address
42450 W 12 MILE RD, STE 315, NOVI, MI 48377-3013
(248) 513-4100
(248) 513-4105
Mailing address
42450 W 12 MILE RD, STE 315, NOVI, MI 48377-3013
(248) 513-4100
(248) 513-4105
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/29/2014
Last updated
10/20/2015
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