DR. RIAD MOH'D WRAIKAT PH.D. NPI 1053468827

NPI Information

NPI: 1053468827
Provider Name: DR. RIAD MOH'D WRAIKAT, PH.D.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
16904 W WARREN AVE
DETROIT, MI
ZIP 48228
Phone: (313) 581-7287
Get Directions

DR. Riad Moh'd Wraikat, PH.D. is a professional counselor in Detroit, MI. DR. Riad Moh'd Wraikat, PH.D. NPI is 1053468827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16904 W WARREN AVE
DETROIT, MI
ZIP 48228-505
Phone: (313) 581-7287
Fax: (313) 581-7318

The enumeration date for this NPI number is 1/4/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401001626	MICHIGAN	Yes
2	103T00000X	Psychologist		6301013282	MICHIGAN	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3434247	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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