Provider Demographics
NPI:1093904898
Name:DR. ROBIN RAMSAY, PH.D, LP, PLC
Entity Type:Organization
Organization Name:DR. ROBIN RAMSAY, PH.D, LP, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:JO
Authorized Official - Last Name:RAMSAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:313-702-0062
Mailing Address - Street 1:18090 MACK AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48230-6251
Mailing Address - Country:US
Mailing Address - Phone:313-702-0062
Mailing Address - Fax:313-642-1998
Practice Address - Street 1:18090 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48230-6251
Practice Address - Country:US
Practice Address - Phone:313-702-0062
Practice Address - Fax:313-642-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301009561103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6301009561OtherSTATE LICENSE
MION83120Medicare UPIN
ON83120Medicare PIN