Doctor Name: | MICHAEL E MAY |
NPI Number: | 1285803114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D., BCBA |
License Number: | |
Business Practice Address: | 208 Breeze St Carterville, IL - 629182358 |
Business Phone Number: | 6154001303 |
Business Fax Number: | |
Mailing Address: | 208 Breeze St, CARTERVILLE |
State: | IL |
Postal Code: | 629182358 |
Phone Number: | 6154001303 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2008 |
NPI Last Update Date: | 02/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TM1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
Taxonomy Definition: |