Provider Demographics
NPI:1679346282
Name:KATIE ONG, INC.
Entity Type:Organization
Organization Name:KATIE ONG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASTER'S LEVEL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:ONG
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LLP
Authorized Official - Phone:248-225-7269
Mailing Address - Street 1:1210 ASHOVER DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-1104
Mailing Address - Country:US
Mailing Address - Phone:248-225-7269
Mailing Address - Fax:
Practice Address - Street 1:1210 ASHOVER DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-1104
Practice Address - Country:US
Practice Address - Phone:248-225-7269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)