Provider Demographics
NPI:1184850869
Name:DIGNAN, JAMES E (MSLLP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:DIGNAN
Suffix:
Gender:M
Credentials:MSLLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 W BIG BEAVER RD
Mailing Address - Street 2:1450
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4736
Mailing Address - Country:US
Mailing Address - Phone:248-244-8644
Mailing Address - Fax:
Practice Address - Street 1:888 W BIG BEAVER RD
Practice Address - Street 2:1450
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-4736
Practice Address - Country:US
Practice Address - Phone:248-244-8644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301009265103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist