Healthcare Provider Details

I. General information

NPI: 1699389395
Provider Name (Legal Business Name): LINDA D SELTZER-SUCHER PHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 09/01/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 BRYN MAWR ST
BIRMINGHAM MI
48009-1501
US

IV. Provider business mailing address

275 BRYN MAWR ST
BIRMINGHAM MI
48009-1501
US

V. Phone/Fax

Practice location:
  • Phone: 248-882-1325
  • Fax:
Mailing address:
  • Phone: 248-882-1325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. LINDA D SELTZER-SUCHER
Title or Position: PRES
Credential: PHD
Phone: 248-882-1325