Haider Hassan Al Darweesh
Psychologist, Cognitive & Behavioral in Dexter, MI. Individual provider (NPI-1).
NPI number1982134664
StatusActive
Last updated in NPPESJan 7, 2021
Details
- NPI
- 1982134664
- Entity type
- Individual (NPI-1)
- Name
- Haider Hassan Al Darweesh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2017
- Certification date
- Jan 7, 2021
- Last updated
- Jan 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | 6362009232 | MI | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
3258 Broad St Ste 2Dexter, MI 48130-1142
Phone 734-664-2528
Mailing address
23400 Michigan Ave SteDearborn, MI 48124
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