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NPI Code Detail

MEDICARE: JUNE NGUYEN WESTDAL PH.D.

MEDICARE: JUNE NGUYEN WESTDAL PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1124634639
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNE NGUYEN WESTDAL PH.D.
Provider Business Mailing Address
First Line : 1402 S SAGINAW ST
Second Line :
City : FLINT
State : MI
Zip : 48503-3705
Country : US
Telephone Number : 810-496-5634
Fax Number :
Provider Business Practice Location Address
First Line : 1402 S SAGINAW ST
Second Line :
City : FLINT
State : MI
Zip : 48503-3705
Country : US
Telephone Number : 810-496-5634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2020
Last Update Date : 02/05/2026

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