Healthcare Provider Details

I. General information

NPI: 1366711053
Provider Name (Legal Business Name): MICHAEL F ABRAMSKY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2011
Last Update Date: 12/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 CANTERBURY ST
BIRMINGHAM MI
48009-3015
US

IV. Provider business mailing address

954 CANTERBURY ST
BIRMINGHAM MI
48009-3015
US

V. Phone/Fax

Practice location:
  • Phone: 248-644-7398
  • Fax:
Mailing address:
  • Phone: 248-644-7398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301002294
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number6301002294
License Number StateMI

VIII. Authorized Official

Name: DR. MICHAEL FARREL ABRAMSKY
Title or Position: LICENSED PSYCHOLOGIST
Credential: PHD
Phone: 248-644-7398