Provider Demographics
NPI:1033244843
Name:ING, DANIEL ANTONY (MA,LLP,CCHP)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ANTONY
Last Name:ING
Suffix:
Gender:M
Credentials:MA,LLP,CCHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:110 N 4TH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5503
Mailing Address - Country:US
Mailing Address - Phone:734-222-3581
Mailing Address - Fax:734-971-2487
Practice Address - Street 1:2140 E ELLSWORTH RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2552
Practice Address - Country:US
Practice Address - Phone:734-222-3581
Practice Address - Fax:734-971-2487
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6361003168103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist