Provider Demographics
NPI:1427594811
Name:DROSIS, DARRA
Entity Type:Individual
Prefix:
First Name:DARRA
Middle Name:
Last Name:DROSIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 WINTER DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-5798
Mailing Address - Country:US
Mailing Address - Phone:586-242-2710
Mailing Address - Fax:
Practice Address - Street 1:101 W BIG BEAVER RD STE 1400
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-5295
Practice Address - Country:US
Practice Address - Phone:586-242-2710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst