MEDICARE: DEBORAH STARR LLP, RDT, CHT, CAC-1

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	103TA0400X	Addiction (Substance Use Disorder) Psychologist
3	174400000X	Specialist

General Provider Information

NPI Number	:	1336263516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH STARR LLP, RDT, CHT, CAC-1

Provider Business Mailing Address
First Line	:	11000 W MCNICHOLS RD
Second Line	:	SUITE B2-B4
City	:	DETROIT
State	:	MI
Zip	:	48221-2357
Country	:	US
Telephone Number	:	313-863-5554
Fax Number	:	313-863-4711

Provider Business Practice Location Address
First Line	:	11000 W MCNICHOLS RD
Second Line	:	SUITE B2-B4
City	:	DETROIT
State	:	MI
Zip	:	48221-2357
Country	:	US
Telephone Number	:	313-863-5554
Fax Number	:	313-863-4711

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	09/11/2025

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