OrganizationActive
The Behavioral Medicine Clinic of Northwest Michigan, PLC
NPI 1336353473 · Developmental - Behavioral Pediatrics Physician · Traverse City, MI
Provider details
- NPI number
- 1336353473
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terry Dickson, Owner(231) 932-1250
- License
- 4301062201 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
745 S Garfield Ave
Suite C
Traverse City, MI 49686-3479
Phone: (231) 932-1250
Fax: (231) 932-1266
Approximate (ZIP-level) locationGet directions
Mailing address
745 S Garfield Ave
Traverse City, MI 49686-3479
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2008-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.