Provider Demographics
NPI:1699582114
Name:HIND N PATROS MA LLP PLLC
Entity type:Organization
Organization Name:HIND N PATROS MA LLP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HIND
Authorized Official - Middle Name:N
Authorized Official - Last Name:PATROS
Authorized Official - Suffix:
Authorized Official - Credentials:MA LLP
Authorized Official - Phone:248-645-5960
Mailing Address - Street 1:30400 TELEGRAPH RD STE 331
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4573
Mailing Address - Country:US
Mailing Address - Phone:248-645-5960
Mailing Address - Fax:248-645-0562
Practice Address - Street 1:30400 TELEGRAPH RD STE 331
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4573
Practice Address - Country:US
Practice Address - Phone:248-645-5960
Practice Address - Fax:248-645-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty