Provider Demographics
NPI:1649218256
Name:HELFMAN, BETHANY LYNN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:LYNN
Last Name:HELFMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111 ANDOVER ROAD
Mailing Address - Street 2:SUITE 150-W
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1420
Mailing Address - Country:US
Mailing Address - Phone:248-535-2933
Mailing Address - Fax:248-686-0344
Practice Address - Street 1:4111 ANDOVER RD STE 150-W
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48302-1909
Practice Address - Country:US
Practice Address - Phone:248-535-2933
Practice Address - Fax:248-686-0344
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012168103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI680F300900Medicare UPIN
MI0N68710Medicare ID - Type Unspecified