Basic Information
Provider Information
NPI: 1215955380
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMEY
FirstName: MICHAEL
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: PSY.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 50095 JACKSON LN
Address2:  
City: CANTON
State: MI
PostalCode: 481883452
CountryCode: US
TelephoneNumber: 3135953121
FaxNumber:  
Practice Location
Address1: 5958 N CANTON CENTER RD
Address2: SUITE 900
City: CANTON
State: MI
PostalCode: 481872765
CountryCode: US
TelephoneNumber: 7347371200
FaxNumber: 7347371205
Other Information
ProviderEnumerationDate: 07/17/2006
LastUpdateDate: 09/26/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X6301012775MIY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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