Deitch, Michael Bruce

Deitch, Michael Bruce is an individual health care provider with primary practice located at 8701 New Trails Dr Suite 150, The Woodlands TX 77381-4253. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Deitch, Michael Bruce can be contacted via phone (281) 367-1015.

Contact Information

Primary practice address
8701 New Trails Dr Suite 150 The Woodlands TX 77381-4253
Phone: (281) 367-1015
Fax: (281) 367-1966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC 9354 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1760521165
LBN Legal business name Deitch, Michael Bruce
Credentials PHD LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760521165 NPPES
Texas Other 6511LC BLUE CROSS

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