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Benitha Willeana Solomon
Health Service Psychologist in Detroit, Michigan
NPI 1598471716

Benitha Willeana Solomon is a Health Service Psychologist based in Detroit, MI and is specialized in Health Service. Benitha Willeana Solomon practices in Detroit, MI. The NPI Number for Benitha Willeana Solomon is 1598471716 and holds a License No. MG0564248 (Michigan).

The current practice location address for Benitha Willeana Solomon is 14190 St.mary, Detroit, MI and can be reached out via phone at 586-277-9900.

Location: 14190 St.mary, Detroit, MI, 48227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598471716
Provider Name
Benitha Willeana Solomon
Credential
Provider Entity Type
Individual
Gender
Female
Address
14190 St.mary, Detroit, MI, 48227
Phone Number
586-277-9900
Fax Number
Provider Enumeration Date
01/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14190 St.mary
City
Detroit
State
Michigan
Zip
48227
Phone Number
586-277-9900
Fax Number
person
Provider Business Mailing Address Details
Address
14190 St.mary
City
Detroit
State
Michigan
Zip
48227
Phone Number
586-277-9900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
MG0564248 (Michigan)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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