NPI Code Details Logo

NPI 1114304342

NPI 1114304342 : SARAH ELLEN DELEON MD : BLOOMFIELD HILLS, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1114304342
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SARAH ELLEN DELEON MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/27/2015
-----------------------------------------------------
    Last Update Date     |    09/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1760 S TELEGRAPH RD STE 220 
-----------------------------------------------------
    City                 |    BLOOMFIELD HILLS
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48302-0183
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    313-570-0322
-----------------------------------------------------
    Fax                  |    248-671-0922
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1760 S TELEGRAPH RD STE 220 
-----------------------------------------------------
    City                 |    BLOOMFIELD HILLS
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48302-0183
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    313-570-0322
-----------------------------------------------------
    Fax                  |    248-671-0922
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    4301107886
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.