| Thedoshia Carter Afc#1 | |
|
8505 Plymouth Rd Detroit MI 48204-1905 | |
| (313) 933-1956 | |
| (313) 933-1956 |
| Full Name | Thedoshia Carter Afc#1 |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 8505 Plymouth Rd, Detroit, Michigan |
| Authorized Official Name and Position | Thedoshia Carter (PROVIDER) |
| Authorized Official Contact | 3139331956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thedoshia Carter Afc#1 8505 Plymouth Rd Detroit MI 48204-1905 Ph: (313) 933-1956 | Thedoshia Carter Afc#1 8505 Plymouth Rd Detroit MI 48204-1905 Ph: (313) 933-1956 |
| NPI Number | 1447336573 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447336573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (Michigan) | Primary |
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