JOSEPH BAVONESE PHD PC NPI 1174778682

NPI Information

NPI: 1174778682
Provider Name: JOSEPH BAVONESE PHD PC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
27172 WOODWARD AVE
SUITE NUMBER 200
ROYAL OAK, MI
ZIP 48067
Phone: (248) 546-0407
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JOSEPH BAVONESE PHD PC is a mental health counselor in Royal Oak, MI. JOSEPH BAVONESE PHD PC NPI is 1174778682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27172 WOODWARD AVE
SUITE NUMBER 200
ROYAL OAK, MI
ZIP 48067-963
Phone: (248) 546-0407
Fax: (248) 548-1925

The provider's authorized official is Joe Bavonese .
The authorized official title is Director and has the following contact phone number (248) 546-0407.

The enumeration date for this NPI number is 11/25/2008 and was last updated on 5/13/2011.

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
1	101YM0800X	Counselor	Mental Health	6301007576	MICHIGAN	Yes

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

NPI Synchronization or Removal

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