Doctor Name: | DON FRANCIS NOVAK |
NPI Number: | 1073692091 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | 6401006457 |
Business Practice Address: | 2514 Biddle Av Wyandotte, MI - 481927891 |
Business Phone Number: | 7342817030 |
Business Fax Number: | 7346768789 |
Mailing Address: | 18375 Meridian Rd, GROSSE ILE |
State: | MI |
Postal Code: | 481381072 |
Phone Number: | 7346768846 |
Fax Number: | 7346768789 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6401006457 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |