Individual provider · Type 1 NPI

Theodore Joseph Dziengelewski

Peer Specialist · Southgate, MI

NPI number 1407593981 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1407593981

Theodore Joseph Dziengelewski's National Provider Identifier is 1407593981, issued on May 17, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Southgate, MI. The record was last updated on May 17, 2022.