Provider Demographics
NPI:1407188139
Name:SUSAN H. DEUTSCH PLLC
Entity Type:Organization
Organization Name:SUSAN H. DEUTSCH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:DEUTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, BCD
Authorized Official - Phone:248-563-7004
Mailing Address - Street 1:31219 OAK VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-4402
Mailing Address - Country:US
Mailing Address - Phone:248-563-7004
Mailing Address - Fax:248-669-1925
Practice Address - Street 1:55 N POND DR
Practice Address - Street 2:SUITE 6
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390-3080
Practice Address - Country:US
Practice Address - Phone:248-669-1900
Practice Address - Fax:248-669-1925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty