Healthcare Provider Details

I. General information

NPI: 1487050811
Provider Name (Legal Business Name): NAEEM & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 11/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39293 PLYMOUTH RD STE 118
LIVONIA MI
48150-1060
US

IV. Provider business mailing address

39293 PLYMOUTH RD STE 118
LIVONIA MI
48150-1060
US

V. Phone/Fax

Practice location:
  • Phone: 734-657-3183
  • Fax: 866-230-3656
Mailing address:
  • Phone: 734-657-3183
  • Fax: 866-230-3656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301015419
License Number StateMI

VIII. Authorized Official

Name: DR. HALIM KHIDHIR NAEEM
Title or Position: PRESIDENT
Credential: PH. D.
Phone: 734-657-3183