Provider Demographics
NPI:1497322168
Name:SINGH, VATSALA
Entity Type:Individual
Prefix:
First Name:VATSALA
Middle Name:
Last Name:SINGH
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 1:39555 ORCHARD HILL PL STE 600
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5381
Mailing Address - Country:US
Mailing Address - Phone:248-599-1582
Mailing Address - Fax:855-568-2494
Practice Address - Street 1:39555 ORCHARD HILL PLACE
Practice Address - Street 2:SUITE 600
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375
Practice Address - Country:US
Practice Address - Phone:248-599-1582
Practice Address - Fax:855-568-2494
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No156F00000XEye and Vision Services ProvidersTechnician/Technologist