Doctor Name: | DR. PETER J HADDAD |
NPI Number: | 1033246129 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 6301005523 |
Business Practice Address: | 1905 Evans St Mt Pleasant, MI - 488584459 |
Business Phone Number: | 9897732919 |
Business Fax Number: | |
Mailing Address: | 1905 Evans St, MT PLEASANT |
State: | MI |
Postal Code: | 488584459 |
Phone Number: | 9897732919 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301005523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |