Basic Information
| Provider Information | |||||||||
| NPI: | 1639556343 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REDINGER | ||||||||
| FirstName: | ALMA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8850 TREVI LN | ||||||||
| Address2: | |||||||||
| City: | HOLLY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 484428125 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102308000 | ||||||||
| FaxNumber: | 8107206905 | ||||||||
| Practice Location | |||||||||
| Address1: | 2052 S DYE RD | ||||||||
| Address2: | |||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485324122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8107206900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2015 | ||||||||
| LastUpdateDate: | 05/01/2015 | ||||||||
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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 | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.