Deldotto, Jerel Eugene

Deldotto, Jerel Eugene is an individual health care provider with primary practice located at 36405 Harper Ave , Clinton Township MI 48035-2957. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Deldotto, Jerel Eugene can be contacted via phone (586) 791-6060.

Contact Information

Primary practice address
36405 Harper Ave Clinton Township MI 48035-2957
Phone: (586) 791-6060
Fax: (586) 791-8211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301005951 Michigan

Profile Details

NPI number 1124085816
LBN Legal business name Deldotto, Jerel Eugene
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Mar 15th, 2010 - about 16 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 1124085816 NPPES
Michigan Other 620005726 RR MEDICARE

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