Doctor Name: | RAY KAMOO |
NPI Number: | 1013072164 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 822164 |
Business Practice Address: | 12501 Hamilton Highland Park, MI - 48203 |
Business Phone Number: | 3138651580 |
Business Fax Number: | 3138651582 |
Mailing Address: | Po Box 14947, DETROIT |
State: | MI |
Postal Code: | 48214 |
Phone Number: | 3138654580 |
Fax Number: | 3138651582 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | 822164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |