Provider Demographics
NPI:1285519702
Name:BERTIN, BONNIE F
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:F
Last Name:BERTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4859 GREER RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-1243
Mailing Address - Country:US
Mailing Address - Phone:248-935-3301
Mailing Address - Fax:
Practice Address - Street 1:4859 GREER RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48324-1243
Practice Address - Country:US
Practice Address - Phone:248-935-3301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker