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NPI Code Detail

MEDICARE: CHITTER CHATTER P.C.

MEDICARE: CHITTER CHATTER P.C.
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
2106E00000XAssistant Behavior Analyst
3106S00000XBehavior Technician
4224ZF0002XFeeding, Eating & Swallowing Occupational Therapy Assistant
5235Z00000XSpeech-Language Pathologist
6251E00000XHome Health Agency03892JMI
7103K00000XBehavior Analyst

General Provider Information

NPI Number : 1609135748
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHITTER CHATTER P.C.
Provider Business Mailing Address
First Line : 23663 PARK ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2547
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23663 PARK ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2547
Country : US
Telephone Number : 313-689-5188
Fax Number : 866-861-5188
Authorized Official
Title or Position : CEO
Name : JACQUELINE JABER
Credential :
Telephone Number : 917-535-2525
Provider Enumeration Date : 05/10/2012
Last Update Date : 04/10/2023

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Directions to “CHITTER CHATTER P.C. ” Practice Location

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