Provider Demographics
NPI:1023029261
Name:TEMPEY, DAMON FRED (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAMON
Middle Name:FRED
Last Name:TEMPEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 S LINDEN RD STE J
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-5413
Mailing Address - Country:US
Mailing Address - Phone:810-732-5632
Mailing Address - Fax:810-732-6351
Practice Address - Street 1:2222 S LINDEN RD STE J
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5413
Practice Address - Country:US
Practice Address - Phone:810-732-0560
Practice Address - Fax:810-732-6351
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301008946103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6301008946OtherPSYCHOLOGIST LICENSE
1023029261OtherNATIONAL PROVIDER