MS. SUSAN REBECCA MALOTT NPI 1053841825

NPI Information

NPI: 1053841825
Provider Name: MS. SUSAN REBECCA MALOTT
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
1410 S TELEGRAPH RD
BLOOMFIELD HILLS, MI
ZIP 48302
Phone: (248) 456-8153
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MS. Susan Rebecca Malott is a psychiatric/mental health and adult registered nurse in Bloomfield Hills, MI. MS. Susan Rebecca Malott NPI is 1053841825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1410 S TELEGRAPH RD
BLOOMFIELD HILLS, MI
ZIP 48302-046
Phone: (248) 456-8153

The enumeration date for this NPI number is 6/14/2017 and was last updated on 6/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	4704180080	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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