Provider Demographics
NPI:1275737413
Name:DORMAN AND ASSOCIATES PLC
Entity Type:Organization
Organization Name:DORMAN AND ASSOCIATES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARLEY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:DORMAN
Authorized Official - Suffix:II
Authorized Official - Credentials:EDD
Authorized Official - Phone:269-488-7720
Mailing Address - Street 1:3207 STADIUM DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-1536
Mailing Address - Country:US
Mailing Address - Phone:269-488-7720
Mailing Address - Fax:269-488-7721
Practice Address - Street 1:3207 STADIUM DR
Practice Address - Street 2:SUITE 2
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-1536
Practice Address - Country:US
Practice Address - Phone:269-488-7720
Practice Address - Fax:269-488-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty