Basic Information
Provider Information
NPI: 1952598831
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGER
FirstName: DEBORAH
MiddleName: LILA-DUBEN
NamePrefix:  
NameSuffix:  
Credential: M.A. L.L.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 30613 CREST FRST
Address2:  
City: FARMINGTON HILLS
State: MI
PostalCode: 483311054
CountryCode: US
TelephoneNumber: 2484170561
FaxNumber:  
Practice Location
Address1: 2387 E WALTON BLVD
Address2:  
City: AUBURN HILLS
State: MI
PostalCode: 483261955
CountryCode: US
TelephoneNumber: 2484756300
FaxNumber: 2484756370
Other Information
ProviderEnumerationDate: 09/25/2007
LastUpdateDate: 08/02/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X6301013565MIY Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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