Healthcare Provider Details

I. General information

NPI: 1386856193
Provider Name (Legal Business Name): EILEEN C SHEVIN-FINCK MA CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 03/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 ORCHARD LAKE RD SUITE 314
WEST BLOOMFIELD MI
48322-3405
US

IV. Provider business mailing address

6900 ORCHARD LAKE RD SUITE 314
WEST BLOOMFIELD MI
48322-3405
US

V. Phone/Fax

Practice location:
  • Phone: 248-855-7530
  • Fax:
Mailing address:
  • Phone: 248-855-7530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1601000388
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1601000388
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: