| Doctor Name: | BERYL FLETCHER |
| NPI Number: | 1114240181 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 21543 Newcastle Rd Harper Woods, MI - 482252314 |
| Business Phone Number: | 3138821897 |
| Business Fax Number: | |
| Mailing Address: | 21543 Newcastle Rd, HARPER WOODS |
| State: | MI |
| Postal Code: | 482252314 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2010 |
| NPI Last Update Date: | 03/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |