Healthcare Provider Details

I. General information

NPI: 1154591014
Provider Name (Legal Business Name): LADALIA ANN POSTELL MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 03/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 CHIPPEWA ST
FLINT MI
48503-1570
US

IV. Provider business mailing address

329 ALLENDALE PL
FLINT MI
48503-2335
US

V. Phone/Fax

Practice location:
  • Phone: 810-232-9950
  • Fax:
Mailing address:
  • Phone: 810-238-2898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801046686
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: