Healthcare Provider Details

I. General information

NPI: 1346169802
Provider Name (Legal Business Name): DEEMA ATTAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29900 LORRAINE AVE
WARREN MI
48093-5266
US

IV. Provider business mailing address

1698 MORNINGSIDE LN
ROCHESTER HILLS MI
48307-3370
US

V. Phone/Fax

Practice location:
  • Phone: 586-393-1570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7152001438
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: