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WENDY DITTRICH CROLL MA LPC LLC NPI 1487279410


NPI Information

NPI: 1487279410
Provider Name: WENDY DITTRICH CROLL, MA, LPC, LLC

Former Legal Business Name: WENDY DITTRICH CROLL, MA, LPC, LLC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
28475 GREENFIELD RD STE 113
SOUTHFIELD, MI
ZIP 48076
Phone: (810) 360-7337
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WENDY DITTRICH CROLL, MA, LPC, LLC is a multi-specialty clinic center in Southfield, MI. WENDY DITTRICH CROLL, MA, LPC, LLC NPI is 1487279410. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Wendy Dittrich Croll, Ma, Lpc, Llc.

The provider's business location address is:

28475 GREENFIELD RD STE 113
SOUTHFIELD, MI
ZIP 48076-034
Phone: (810) 360-7337

The provider's authorized official is Wendy Dittrich Croll .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (810) 360-7337.

The enumeration date for this NPI number is 6/16/2020 and was last updated on 10/26/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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: 4/28/2024

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