Provider Demographics
NPI:1558511576
Name:NEWBERRY-MEYER, DENA (PTA)
Entity Type:Individual
Prefix:
First Name:DENA
Middle Name:
Last Name:NEWBERRY-MEYER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27240 HAGGERTY RD STE E15
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-5716
Mailing Address - Country:US
Mailing Address - Phone:248-488-0350
Mailing Address - Fax:
Practice Address - Street 1:27240 HAGGERTY RD STE E15
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-5716
Practice Address - Country:US
Practice Address - Phone:248-488-0350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist