Provider Demographics
NPI:1811130768
Name:ABILITY ASSESSMENTS, PC
Entity type:Organization
Organization Name:ABILITY ASSESSMENTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:KNEISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-443-5686
Mailing Address - Street 1:22030 GREATER MACK AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-2369
Mailing Address - Country:US
Mailing Address - Phone:586-443-5686
Mailing Address - Fax:586-443-5689
Practice Address - Street 1:22030 GREATER MACK AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-2369
Practice Address - Country:US
Practice Address - Phone:586-443-5686
Practice Address - Fax:586-443-5689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301051497261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center