Doctor Name: | LINDA F FERSHTMAN |
NPI Number: | 1265870414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.PSY.S, L.L.P. |
License Number: | 6301012935 |
Business Practice Address: | 8898 Commerce Rd Suite 3a Commerce Twp, MI - 483824485 |
Business Phone Number: | 2483632850 |
Business Fax Number: | 8003806809 |
Mailing Address: | 2790 Parkwick Ct, Suite 101 WEST BLOOMFIELD |
State: | MI |
Postal Code: | 483244105 |
Phone Number: | 2483632850 |
Fax Number: | 8003806809 |
NPI Enumeration Date: | 06/10/2013 |
NPI Last Update Date: | 06/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 6301012935 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |