David Peradotto
Clinical Child & Adolescent Psychologist
43450 W 10 Mile Rd
Novi
, Michigan 48375-3172
David Peradotto
Clinical Child & Adolescent Psychologist
43450 W 10 Mile Rd
Novi
, Michigan 48375-3172
(248) 344-7423
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- David Peradotto
- 43450 W 10 Mile Rd
- Novi, MI
- Zip : 48375-3172
- Fax : (248) 344-7423
- Phone : (248) 344-7420
Second Address
- David Peradotto
- 43450 W 10 Mile Rd
- Novi, MI
- Zip : 48375-3172
- Fax : (248) 344-7423
- Phone : (248) 344-7420
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 6301008098 | MI |
National Provider Identifier
| NPI | 1043249469 |
|---|---|
| Provider Name | David Peradotto |
| First Address | Novi, MI 48375-3172 |
| Second Address | Novi, MI 48375-3172 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 21/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 273178 | BCN PIN (01) | MI |
| 273178 | VO (01) | MI |
| 300040030 | NPC TAX ID (01) | MI |
| 680F321030 | BC PIN (01) | MI |
| 680F333060 | BC PIN (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.