Provider Demographics
NPI:1174034839
Name:ATARA ABRAMSKY PHD PLLC
Entity Type:Organization
Organization Name:ATARA ABRAMSKY PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ATARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-808-2976
Mailing Address - Street 1:17240 W 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2949
Mailing Address - Country:US
Mailing Address - Phone:248-808-2976
Mailing Address - Fax:
Practice Address - Street 1:17240 W 10 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2949
Practice Address - Country:US
Practice Address - Phone:248-808-2976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012961261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health