MEDICARE: DR. BETHANY LYNN HELFMAN PSY.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
1	103TC0700X	Clinical Psychologist	6301012168	MI

General Provider Information

NPI Number	:	1649218256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETHANY LYNN HELFMAN PSY.D.

Provider Business Mailing Address
First Line	:	4111 ANDOVER ROAD
Second Line	:	SUITE 150-W
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-1420
Country	:	US
Telephone Number	:	248-535-2933
Fax Number	:	248-686-0344

Provider Business Practice Location Address
First Line	:	4111 ANDOVER RD STE 150-W
Second Line	:
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48302-1909
Country	:	US
Telephone Number	:	248-535-2933
Fax Number	:	248-686-0344

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	07/21/2022

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