Organization
MENTAL HEALTH PROFESSIONALS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYLINDA HOES PH.D (NURSE PRACTITIONER)
(248) 626-3333
Entity
Organization
Contact information
Practice address
5600 W MAPLE RD, B-206, W BLOOMFIELD, MI 48322-3704
(248) 626-3333
(248) 626-3375
Mailing address
5600 W MAPLE RD, B-206, W BLOOMFIELD, MI 48322-3704
(248) 626-3333
(248) 626-3375
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPI2530MI
MEDICARE INDIVIDUAL NUMBE
MI
Enumeration date
12/19/2007
Last updated
04/07/2008
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