Provider Demographics
NPI:1972311546
Name:OBERDIER, ALETHA FAYE (CLC)
Entity type:Individual
Prefix:
First Name:ALETHA
Middle Name:FAYE
Last Name:OBERDIER
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 HAZELWOOD ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-1771
Mailing Address - Country:US
Mailing Address - Phone:248-872-3837
Mailing Address - Fax:
Practice Address - Street 1:103 HAZELWOOD ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-1771
Practice Address - Country:US
Practice Address - Phone:313-474-4067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula