Provider Demographics
NPI:1871863373
Name:PARADINE, AMIE (PSYD)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:
Last Name:PARADINE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:AMIE
Other - Middle Name:
Other - Last Name:PARADINE-HAWVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1500 WEISS ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5251
Mailing Address - Country:US
Mailing Address - Phone:989-497-2500
Mailing Address - Fax:989-321-4922
Practice Address - Street 1:4241 BARNARD RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-1308
Practice Address - Country:US
Practice Address - Phone:989-497-2500
Practice Address - Fax:989-321-4922
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-31
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301015862103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical