Basic Information
| Provider Information | |||||||||
| NPI: | 1396098315 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARVIZU-DAL-PIAZ | ||||||||
| FirstName: | DINA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 130 HAMPTON CIR | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483074195 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2488530750 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1685 BALDWIN AVE | ||||||||
| Address2: | |||||||||
| City: | PONTIAC | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483401115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2487063450 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2012 | ||||||||
| LastUpdateDate: | 09/20/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 6801093761 | MI | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.