Provider Demographics
NPI:1326239005
Name:ABRAMSKY, MICHAEL FARREL (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FARREL
Last Name:ABRAMSKY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 S OLD WOODWARD AVE
Mailing Address - Street 2:STE.246
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6117
Mailing Address - Country:US
Mailing Address - Phone:248-644-7398
Mailing Address - Fax:248-644-1557
Practice Address - Street 1:111 S OLD WOODWARD AVE
Practice Address - Street 2:STE.246
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6117
Practice Address - Country:US
Practice Address - Phone:248-644-7398
Practice Address - Fax:248-644-1557
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI02294103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical