Provider Demographics
NPI:1124254792
Name:SPRINGER, CAMEY (MA)
Entity type:Individual
Prefix:MRS
First Name:CAMEY
Middle Name:
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CAMEY
Other - Middle Name:
Other - Last Name:JEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:20948 RIDGEMONT RD
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-1168
Mailing Address - Country:US
Mailing Address - Phone:586-863-2956
Mailing Address - Fax:
Practice Address - Street 1:13101 ALAN RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2216
Practice Address - Country:US
Practice Address - Phone:734-785-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI823069103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical