| Organization Name: | BADDIGAM FAMILY PSYCHIATRIC ASSOC |
| NPI Number: | 1033393442 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRAMEELA BADDIGAM (OWNER) |
| Mailing Address: | 15500 19 Mile Rd Ste 310 Clinton Twp |
| State: | MI US |
| Postal Code: | 480386330 |
| Phone Number: | 5862636812 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2007 |
| NPI Last Update Date: | 12/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Adult Development & Aging |
| Taxonomy Definition: | |