Provider Demographics
NPI:1689899759
Name:ZAJDEL, ERIC STEPHEN (BS)
Entity Type:Individual
Prefix:PROF
First Name:ERIC
Middle Name:STEPHEN
Last Name:ZAJDEL
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43730 ALGONQUIN DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5427
Mailing Address - Country:US
Mailing Address - Phone:248-719-0351
Mailing Address - Fax:
Practice Address - Street 1:20500 EUREKA RD STE 105
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-5370
Practice Address - Country:US
Practice Address - Phone:734-284-1415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)