Healthcare Provider Details

I. General information

NPI: 1073158606
Provider Name (Legal Business Name): INSPIRING SOLUTIONS PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2019
Last Update Date: 01/23/2020
Certification Date: 01/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 E BIG BEAVER RD STE A
TROY MI
48083-1432
US

IV. Provider business mailing address

107 STALWART DR
TROY MI
48098-3040
US

V. Phone/Fax

Practice location:
  • Phone: 586-419-7636
  • Fax:
Mailing address:
  • Phone: 586-419-7636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. NANCY LOSEY
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 248-790-0410