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MELISSA RENEE BOGDALEK MA TLLP NPI 1992269633


NPI Information

NPI: 1992269633
Provider Name: MELISSA RENEE BOGDALEK, MA, TLLP
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
5600 W MAPLE RD STE A150
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 862-2924
Get Directions

Melissa Renee Bogdalek, MA, TLLP is a clinical psychologist in West Bloomfield, MI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Melissa Renee Bogdalek, MA, TLLP NPI is 1992269633. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5600 W MAPLE RD STE A150
WEST BLOOMFIELD, MI
ZIP 48322-785
Phone: (248) 862-2924
Fax: (866) 607-5280

The enumeration date for this NPI number is 1/28/2019 and was last updated on 1/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical6301017671MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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