| Doctor Name: | MS. DONNA JEAN DEEDLER |
| NPI Number: | 1013963578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.W. |
| License Number: | |
| Business Practice Address: | 6960 Orchard Lake Rd 100 West Bloomfield, MI - 483224515 |
| Business Phone Number: | 2486261500 |
| Business Fax Number: | 2486261551 |
| Mailing Address: | 6960 Orchard Lake Rd, 100 WEST BLOOMFIELD |
| State: | MI |
| Postal Code: | 483224515 |
| Phone Number: | 2486261500 |
| Fax Number: | 2486261551 |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 11/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |