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Ms. Susan Rebecca Malott
Adult Psychiatric/Mental Health Registered Nurse in Bloomfield Hills, Michigan
NPI 1053841825

Susan Rebecca Malott is an Adult Psychiatric/Mental Health Registered Nurse based in Bloomfield Hills, MI and is specialized in Psychiatric/Mental Health, Adult. Susan Rebecca Malott practices in Bloomfield Hills, MI. The NPI Number for Susan Rebecca Malott is 1053841825 and holds a License No. 4704180080 (Michigan).

The current practice location address for Susan Rebecca Malott is 1410 S Telegraph Rd, Bloomfield Hills, MI and can be reached out via phone at 248-456-8153.

Location: 1410 S Telegraph Rd, Bloomfield Hills, MI, 48302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053841825
Provider Name
Susan Rebecca Malott
Credential
Provider Entity Type
Individual
Gender
Female
Address
1410 S Telegraph Rd, Bloomfield Hills, MI, 48302
Phone Number
248-456-8153
Fax Number
Provider Enumeration Date
06/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1410 S Telegraph Rd
City
Bloomfield Hills
State
Michigan
Zip
48302-0046
Phone Number
248-456-8153
Fax Number
person
Provider Business Mailing Address Details
Address
1410 S Telegraph Rd
City
Bloomfield Hills
State
Michigan
Zip
48302-0046
Phone Number
248-456-8153
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
163WP0809X
License No.
4704180080 (Michigan)
Definition
Definition to come...
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