| Organization Name: | PSYCHOLOGY ASSOCIATES OF THE KEWEENAW PC |
| NPI Number: | 1760545131 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT W SHARKEY (PRESIDENT) |
| Mailing Address: | 56730 Calumet Ave Suite F Calumet |
| State: | MI US |
| Postal Code: | 499132968 |
| Phone Number: | 9063376839 |
| Fax Number: | 9063370944 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |