Provider Demographics
NPI:1871068288
Name:REIFEL, DARLENE
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:REIFEL
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 1:25500 MEADOWBROOK RD STE 220
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1882
Mailing Address - Country:US
Mailing Address - Phone:248-477-7020
Mailing Address - Fax:248-477-2440
Practice Address - Street 1:31100 TELEGRAPH RD STE 230
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4347
Practice Address - Country:US
Practice Address - Phone:248-477-7020
Practice Address - Fax:248-477-2440
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-11
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101000695235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist