Provider Demographics
NPI:1568677318
Name:TOTIN, PH.D., LMFT, RICHARD C (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:TOTIN, PH.D., LMFT
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 1:37450 ALMONT DR E
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4016
Mailing Address - Country:US
Mailing Address - Phone:586-206-2234
Mailing Address - Fax:
Practice Address - Street 1:37450 ALMONT DR E
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4016
Practice Address - Country:US
Practice Address - Phone:586-206-2234
Practice Address - Fax:586-977-0305
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006023106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI68-OEO3756-0OtherBLUE CROSS BLUE SHEILD
MI008694OtherVALUE OPTIONS
MIOE03756Medicare ID - Type Unspecified
MI008694OtherVALUE OPTIONS