Ebony Latrese Bertelsmeyer
Psychologist
1450 S Lapeer Rd
Oxford
, Michigan 48371-6108
Ebony Latrese Bertelsmeyer
Psychologist
1450 S Lapeer Rd
Oxford
, Michigan 48371-6108
(248) 969-0840
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Ebony Latrese Bertelsmeyer
- 1450 S Lapeer Rd
- Oxford, MI
- Zip : 48371-6108
- Fax : (248) 969-0840
- Phone : (248) 969-9932
Second Address
- Ebony Latrese Bertelsmeyer
- 1450 S Lapeer Rd
- Oxford, MI
- Zip : 48371-6108
- Fax : (248) 969-0840
- Phone : (489) 699-9322
Reviews
FAQs
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Is Ebony Latrese Bertelsmeyer a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | ||
| Y | 103T00000X | Psychologist |
National Provider Identifier
| NPI | 1003390600 |
|---|---|
| Provider Name | Ebony Latrese Bertelsmeyer |
| First Address | Oxford, MI 48371-6108 |
| Second Address | Oxford, MI 48371-6108 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/09/2018 |
| Last Update Date | 14/01/2020 |
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.