Provider Demographics
NPI:1386265247
Name:HAKIM, MARAM (MA,LLP)
Entity type:Individual
Prefix:
First Name:MARAM
Middle Name:
Last Name:HAKIM
Suffix:
Gender:M
Credentials:MA,LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29455 SYLVAN LN
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-4071
Mailing Address - Country:US
Mailing Address - Phone:248-702-0047
Mailing Address - Fax:
Practice Address - Street 1:29455 SYLVAN LN
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-4071
Practice Address - Country:US
Practice Address - Phone:248-702-0047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-02
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6361002851103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical