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NPI Code Detail

MEDICARE: HANNAH MCDERMOTT

MEDICARE: HANNAH MCDERMOTT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1215621172
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH MCDERMOTT
Provider Business Mailing Address
First Line : 895 N OPDYKE RD STE D
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-2694
Country : US
Telephone Number : 248-622-5191
Fax Number :
Provider Business Practice Location Address
First Line : 895 N OPDYKE RD STE D
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-2694
Country : US
Telephone Number : 248-622-5191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 06/05/2023

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Directions to “ HANNAH MCDERMOTT ” Practice Location

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