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NPI Code Detail

MEDICARE: BINH HOA PHAM PHD, LMFT

MEDICARE: BINH HOA PHAM PHD, LMFT
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
1106H00000XMarriage & Family Therapist4101006467MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780838482
Entity Type Code : Individual
Provider Name (Legal Business Name) : BINH HOA PHAM PHD, LMFT
Provider Business Mailing Address
First Line : 2700 HAMLIN BLVD
Second Line :
City : INKSTER
State : MI
Zip : 48141-2206
Country : US
Telephone Number : 313-561-5100
Fax Number : 313-565-0309
Provider Business Practice Location Address
First Line : 2700 HAMLIN BLVD
Second Line :
City : INKSTER
State : MI
Zip : 48141-2206
Country : US
Telephone Number : 313-561-5100
Fax Number : 313-565-0309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2008
Last Update Date : 04/26/2018

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Directions to “ BINH HOA PHAM PHD, LMFT” Practice Location

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