| Doctor Name: | MR. PETER C WOLF |
| NPI Number: | 1124010137 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | 110306 |
| Business Practice Address: | 31000 Telegraph Rd Suite 120 Bingham Farms, MI - 480254360 |
| Business Phone Number: | 2485538550 |
| Business Fax Number: | 7344543570 |
| Mailing Address: | 17146 Fairfield St, DETROIT |
| State: | MI |
| Postal Code: | 482213022 |
| Phone Number: | 3134150479 |
| Fax Number: | |
| NPI Enumeration Date: | 08/16/2005 |
| NPI Last Update Date: | 11/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 110306 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |