Doctor Name: | WENDY DITTRICH-MERRION |
NPI Number: | 1275943714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,LLPC |
License Number: | 6401013922 |
Business Practice Address: | 31581 Gratiot Ave Roseville, MI - 480664528 |
Business Phone Number: | 5867834302 |
Business Fax Number: | |
Mailing Address: | 975 Lamppost Ln, BLOOMFIELD |
State: | MI |
Postal Code: | 483041942 |
Phone Number: | 8103607337 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2014 |
NPI Last Update Date: | 05/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401013922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |