Organization Name: | PROGRESSIVE GUIDANCE CENTER OF MONROE PLLC |
NPI Number: | 1508892951 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MUBEEN MEMON (OWNER) |
Mailing Address: | 14930 Laplaisance Rd Suite 103 Monroe |
State: | MI US |
Postal Code: | 481613880 |
Phone Number: | 7342414851 |
Fax Number: | 7342416552 |
NPI Enumeration Date: | 06/25/2006 |
NPI Last Update Date: | 03/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 4301073530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |