Deborah Suzanne Aidem, BS, MS, OTRL
Individual provider Active NPI Specialist · Livonia, MI
NPI 1023313780 · NPPES record last updated Mar 31, 2022
Key facts
- NPI
- 1023313780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 5201007395 (MI)
- Practice address
- 18316 Middlebelt Rd
Livonia, MI 48152-5007 - Phone
- (248) 615-9730
- NPI assigned
- Jan 11, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor of Science, Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5201007395 | MI | Yes |
Addresses
Primary practice location
18316 Middlebelt Rd
Livonia, MI 48152-5007
Mailing address
18316 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 615-9730
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.