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NPI Code Detail

MEDICARE: SUZANNE BILODEAU MA, LLP

MEDICARE:   SUZANNE  BILODEAU  MA, LLP
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
1103TC0700XClinical Psychologist6301014277MI

General Provider Information

NPI Number : 1992027221
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE BILODEAU MA, LLP
Provider Business Mailing Address
First Line : 1750 S TELEGRAPH RD STE 101
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0177
Country : US
Telephone Number : 248-451-9085
Fax Number : 248-451-9089
Provider Business Practice Location Address
First Line : 1750 S TELEGRAPH RD STE 101
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0177
Country : US
Telephone Number : 248-451-9085
Fax Number : 248-451-9089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2010
Last Update Date : 04/12/2023

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Directions to “ SUZANNE BILODEAU MA, LLP” Practice Location

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