Individual
HAIDER HASSAN AL DARWEESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3258 BROAD ST STE 2, DEXTER, MI 48130-1142
(734) 664-2528
Mailing address
23400 MICHIGAN AVE STE, DEARBORN, MI 48124
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6362009232
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/15/2017
Last updated
01/07/2021
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