LORRAINE FERTUCK (NPI# 1932537891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932537891 |
| Entity Type | Individual |
| Full Name | LORRAINE FERTUCK |
| Practice Address |
572 S Cranbrook Cross Rd Bloomfield MI 48301-3433 |
| Practice Telephone | 2488823860 |
| Mailing Telephone | 2488823860 |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
572 S CRANBROOK CROSS RD |
| City | BLOOMFIELD |
| State | MI |
| Zip Code | 48301-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386278992 | Next Level Home Care | Home Health | 3595 W Maple Rd Ste 208, Bloomfield Hills, MI 48301 | 2020-02-24 |
| 1811352230 | Freda B. Lerman, Lpc, Psyd, Lp, Pllc | Psychologist | 6905 Telegraph Road Suite 100, Bloomfield Hills, MI 48301 | 2015-12-30 |
| 1790113223 | Kathy Biehl Kelly | Nurse Practitioner | 3355 Morningview Terrace, Bloomfield Hills, MI 48301 | 2013-10-18 |
| 1538406855 | Dynamic Home Health Care Agency | Case Management | 3744 Lincoln Drive, Bloomfield Hills, MI 48301 | 2013-01-07 |
| 1366798373 | A3 Medical | Family Medicine | 4050 Maple Road, Suite 101, Bloomfield Township, MI 48301 | 2012-07-27 |
| 1013299361 | Michael Kovel Samson | Internal Medicine | 4790 Apple Grove Court, Bloomfield Hills, MI 48301 | 2011-09-13 |
| 1376786152 | Pamela Ann Hibbard Timrek | Speech-Language Pathologist | 3816 Lincoln Drive, Bloomfield Township, MI 48301 | 2009-04-09 |
| 1164694584 | Alexandra Krot | Internal Medicine | 169 Bassett Place, Bloomfield Hills, MI 48301 | 2008-03-26 |
| 1619170644 | Latha T Kannan, Md, PC | Internal Medicine | 6715 Birmingham Club Drive, Bloomfield Hills, MI 48301 | 2007-06-07 |
| 1699802975 | Rebeca Urquiola | Dentist | 4220 Surrey Cross, Bloomfield Hills, MI 48301 | 2007-02-27 |
| Find all providers in zip 48301 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154951879 | Keena S White | Counselor | 22 Brookdale Gdns Apt B, Bloomfield, NJ 07003-6311 | 2020-01-22 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1649821836 | Jessica Simat | Counselor | 35 Fairway St, Bloomfield, NJ 07003-5515 | 2019-09-27 |
| 1144744277 | Kerrie E Anderson | Counselor | 267 Broughton Ave, Bloomfield, NJ 07003-4021 | 2017-07-31 |
| 1316484249 | Safiya Bashir | Counselor | 785 Broad St, Bloomfield, NJ 07003-2803 | 2017-01-30 |
| 1831632371 | Neshea Sinclair | Counselor | 10 Banbury Ln, Bloomfield, CT 06002-2502 | 2016-12-01 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1073973061 | Isiah Lacefield | Counselor | 100 Broughton Ave, Bloomfield, NJ 07003-3989 | 2016-03-03 |
| 1821414731 | Diana Phillips | Counselor | 350 Memorial Pkwy, Bloomfield, NJ 07003 | 2014-03-16 |
| 1295159333 | Alaine Robertson-ali | Counselor | 64 Brighton Ave, Bloomfield, NJ 07003-2224 | 2014-02-10 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 48301 |
Please comment or provide details below to improve the information on LORRAINE FERTUCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.